Objective:
This survey study was
designed with the aim of questioning tobacco and alcohol use as two major
components of preoperative optimization, evaluating the elements of the
preoperative period other than the treatment of anemia, evaluating whether
these elements were performed in compliance with the protocols by anesthetists
and surgeons, and suggesting solutions for overcoming deficiencies.
Method:
Specialist physicians
in anesthesia and surgeons from several branches, who worked in 4 different
healthcare centers in Istanbul, were included in this 15-question survey.
Results: A total of 116 physicians participated in this survey
study. Of the participating physicians, 47 (40.5%) were anesthetists and 69
(59.5%) were surgeons. A total of 115
(99.1%) physicians answered “yes” to the following question: “Do you inform and
train your patient in the preoperative period about the scheduled surgical
procedure/anesthesia method and the essential principles?”. To the question “do
you stress to your patients in the preoperative period that stopping smoking is
necessary for the period of 4 weeks prior to surgery?”, 88 (75.9%) physicians
answered “yes”. Only 47 (40.5%) physicians answered “yes” to the following
question: “In the preoperative period, do you stress to your patients using
alcohol that stopping alcohol use is necessary for the period of 4 weeks prior
to surgery?”
Conclusions:
Our survey study conducted with the participation of
physicians with an experience of more than 10 years demonstrated favorable
outcomes, revealing that all physicians provided information and training for
their patients in the preoperative period and all but 1 physician followed up
the blood sugar level of diabetic patients for regulating the blood sugar
levels. However; we are of the opinion that further collaboration of physicians
within a team concept and in compliance with the preoperative optimization
guidelines will be useful to ensure early and fast recovery in the
postoperative period by limiting the tobacco/alcohol use of patients in the
preoperative period, providing appropriate nutrition preoperatively, enabling
access of patients to prehabilitation, administering adequate premedication,
and providing anemia management.
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Surgical Science Research Makaleler |
Yazarlar | |
Yayımlanma Tarihi | 30 Eylül 2019 |
Kabul Tarihi | 25 Eylül 2019 |
Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 3 |