Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study

YILMAZ, HAKAN; Tüzüner, Filiz; Kazak Bengisun, Züleyha; Kazbek, Baturay Kansu; Köksoy, Ülkü Ceren

Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study

Ülkü KÖKSOY, (Ufuk Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Züleyha Kazak Bengisun, (Ufuk Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Hakan Yılmaz, (Ufuk Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Baturay KAZBEK, (Ufuk Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Filiz Tüzüner (Ufuk Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye)

Anestezi Dergisi

12 1

Yıl: 2021 Cilt: 29 Sayı: 3 Sayfa Aralığı: 165 - 171 Metin Dili: İngilizce İndeks Tarihi: 20-02-2022

Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study

Öz:

Objective: Urinary catheterization causes catheter related bladder discomfort (CRBD) in the early postoperative period following all surgeries. CRBD mostly develops after urological interventions and has two independent predictors: Male gender and urinary catheters ≥18F. We aimed to investigate the awareness of Anesthesiology and Reanimation specialists to CRBD and its treatment. Methods: After ethics committee approval, a questionnaire with informed consent of 20 multiplechoice and open-ended questions was transferred to docs.google.com. and Turkish Society of Anesthesiology and Reanimation Specialists were contacted for contribution. Results: 144 anesthesiologists, 26-66 years old (39.5±8.02 years), 54.5% males, 45.5% females, 66.4% with a teaching position and 55.5% with >10 years of experience participated. 54.4% reported encountering >1 CRBD per week and mostly following urology (70.9%), obstetrics and gynecology (52.5%) and general surgery (51.1%) cases. The frequency and severity (66% and 69.5%) of CRBD was reported higher in male patients. 94.4% agreed that CRBD should be treated. 37.8% believed the surgeon should manage CRBD, 60.1% believed it should be planned together. All male participants stated treatment was necessary (p=0.008). Participants chose preemptive (19.9%, n=28), symptomatic (80.1%, n=113) or both (4.3%, n=6) treatments. The choices for preemptive and symptomatic treatment were similar; non-steroidal anti-inflammatory drugs (70.8%, 59%), paracetamol (43.4%, 50.7%) and tramadol (18.9%, 21.6%). Participants’ knowledge on factors effecting CRBD was lacking. Conclusion: Anesthesiologists do not utilize preemptive and effective treatment for CRBD; one thirds of them do not consider it their responsibility. Anesthesiologists should be aware of CRBD and participate in the treatment using multimodal approaches.

Anahtar Kelime:

Anesteziyologların İdrar Sondasına Bağlı Mesane Rahatsızlığının Tedavisine Yaklaşımı: Bir Anket Çalışması

Öz:

Amaç: Üriner kateterizasyon, tüm ameliyatları takiben erken postoperatif dönemde idrar sondasına bağlı mesane rahatsızlığına (İSBMR) neden olur. İSBMR çoğunlukla ürolojik girişimlerden sonra gelişir ve iki bağımsız prediktöre sahiptir: Erkek cinsiyet ve 18F üriner kateter. Bu çalışmada Anesteziyoloji ve Reanimasyon uzmanlarının İSBMR ve tedavisi konusundaki farkındalıklarını araştırmayı amaçladık. Yöntem: Etik kurul onayından sonra, 20 çoktan seçmeli ve açık uçlu sorudan oluşan bilgilendirilmiş onam içeren bir anket docs.google.com’a aktarıldı. Türk Anesteziyoloji ve Reanimasyon Derneği ile katkıları için iletişime geçildi. Bulgular: Çalışmaya 26-66 yaşlarındaki (39.5±8.02 yaş), %54.5 erkek, %45.5 kadın, %66.4 eğitim kadrosunda ve %55.5> 10 yıl deneyimli 144 anestezist katılmıştır. Katılımcıların %54.4’ü haftada 1’den fazla İSBMR ile karşılaştığını ve bunların çoğunlukla üroloji (%70.9), obstetrik ve jinekoloji (%52.5) ve genel cerrahi (%51.1) vakalarını takip ettiğini belirtti. Erkek hastalarda İSBMR’nin sıklığı ve şiddeti (%66 ve %69.5) daha yüksek bildirildi. Anesteziyoloji ve Reanimasyon uzmanlarının %94.4’ü İSBMR’nin tedavi edilmesi gerektiğini onaylarken. %37.8’i cerrahın İSBMR’yi yönetmesi gerektiğine, %60.1’i ise cerrahla birlikte planlanması gerektiğine inanıyordu. Tüm erkek katılımcılar tedavinin gerekli olduğunu belirttiler (p=0.008). Katılımcılar tedavide önleyici (%19.9, n=28), semptomatik (%80.1, n=113) yaklaşımları veya her ikisini (%4.3, n=6) seçtiler. Tercih edilen önleyici ve semptomatik tedavi seçenekleri benzerdi; non-steroid anti-inflamatuar ilaçlar (%70.8, %59), parasetamol (%43.4, %50.7) ve tramadol (%18.9, %21.6). Katılımcıların İSBMR’yi etkileyen faktörler hakkındaki bilgileri eksikti. Sonuç: Anesteziyoloji ve Reanimasyon uzmanları, İSBMR için önleyici ve etkili tedavileri kullanmamakta ve üçte biri bu rahatsızlığı kendi sorumlulukları olarak görmemektedir. Anesteziyologlar, İSBMR’nin farkında olmalı ve multimodal yaklaşımlar kullanarak tedavisine katılmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Köksoy Ü, Kazak Bengisun Z, YILMAZ H, Kazbek B, Tüzüner F (2021). Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. , 165 - 171.
Chicago	Köksoy Ülkü Ceren,Kazak Bengisun Züleyha,YILMAZ HAKAN,Kazbek Baturay Kansu,Tüzüner Filiz Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. (2021): 165 - 171.
MLA	Köksoy Ülkü Ceren,Kazak Bengisun Züleyha,YILMAZ HAKAN,Kazbek Baturay Kansu,Tüzüner Filiz Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. , 2021, ss.165 - 171.
AMA	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. . 2021; 165 - 171.
Vancouver	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. . 2021; 165 - 171.
IEEE	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F "Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study." , ss.165 - 171, 2021.
ISNAD	Köksoy, Ülkü Ceren vd. "Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study". (2021), 165-171.

APA	Köksoy Ü, Kazak Bengisun Z, YILMAZ H, Kazbek B, Tüzüner F (2021). Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. Anestezi Dergisi, 29(3), 165 - 171.
Chicago	Köksoy Ülkü Ceren,Kazak Bengisun Züleyha,YILMAZ HAKAN,Kazbek Baturay Kansu,Tüzüner Filiz Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. Anestezi Dergisi 29, no.3 (2021): 165 - 171.
MLA	Köksoy Ülkü Ceren,Kazak Bengisun Züleyha,YILMAZ HAKAN,Kazbek Baturay Kansu,Tüzüner Filiz Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. Anestezi Dergisi, vol.29, no.3, 2021, ss.165 - 171.
AMA	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. Anestezi Dergisi. 2021; 29(3): 165 - 171.
Vancouver	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study. Anestezi Dergisi. 2021; 29(3): 165 - 171.
IEEE	Köksoy Ü,Kazak Bengisun Z,YILMAZ H,Kazbek B,Tüzüner F "Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study." Anestezi Dergisi, 29, ss.165 - 171, 2021.
ISNAD	Köksoy, Ülkü Ceren vd. "Anesthesiologists’ Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study". Anestezi Dergisi 29/3 (2021), 165-171.