• Anesthesia and analgesia · May 2004

    A survey of orthopedic surgeons' attitudes and knowledge regarding regional anesthesia.

    • Matthew Oldman, Colin J L McCartney, Andrea Leung, Regan Rawson, Anahi Perlas, Jeff Gadsden, and Vincent W S Chan.
    • Department of Anaesthesia, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada.
    • Anesth. Analg. 2004 May 1; 98 (5): 1486-90, table of contents.

    UnlabelledWe conducted a survey to explore the surgical attitudes and preferences regarding regional anesthesia among Canadian orthopedic surgeons. Surveys were returned by 468 (61%) of 768 surgeons. Forty-eight percent of respondents directed their patients' choice of anesthetic. Forty percent of surgeons directed their patients to choose regional anesthesia. The principal reasons for favoring regional anesthesia were less postoperative pain (32%), decreased nausea and vomiting (12%), and safety (14%). Reasons for not favoring regional anesthesia were delays in the induction of anesthesia (43%) and an unpredictable success rate (12%). This survey suggests that orthopedic surgeons are supportive of regional anesthesia. Barriers to increased popularity include perceived delays and unreliability.ImplicationsOrthopedic surgeons understand the benefits of and are supportive of the use of regional anesthesia in their practices. Barriers to increased popularity include perceived operating room delays and lack of reliability.

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