P-ISSN 2587-2400 | E-ISSN 2587-196X
Eurasian Journal of Medicine and Oncology The evaluation of the attitude of anesthetists on anaphylaxis in Turkey [EJMO]
EJMO. Ahead of Print: EJMO-02997 | DOI: 10.14744/ejmo.2018.02997

The evaluation of the attitude of anesthetists on anaphylaxis in Turkey

Sengül Özmert1, Emine Dibek Mısırlıoğlu2, Feyza Sever1, Galip Özmert3, Fatih Mısırlıoğlu4, Can Naci Kocabaş5
1Department of Anesthesiology, Ankara Children
2Department of Pediatric Allergy and Immunology, Ankara Children
3Department of Anesthesiology, Etlik Zubeyde Hanim Women
4Department of Anesthesiology, Dr. SamiUlus Obstetrics and Pediatrics Research and Educational Hospital, Ankara - Turkey.
5Department of Pediatric Allergy and Immunology, Mugla Sitki Kocman University, Muğla,Turkey

Objective: Anaphylactic reactions are important health problems that can be encountered by anesthesiologists during anesthesia administration. The aim of the study was to determine the attitude of anesthesiologists on the management of anaphylactic reactions.
Methods: Anesthesiologists across the country were administered a questionnaire consisting of 24 questions that evaluated their attitude regarding anesthesia management in anaphylactic reactions.
Results: A total of 223 (70.4% female) anesthesiologists were included in our study. Participants’ level of knowledge on recognizing the signs of anaphylaxis was sufficient. 89.7% of them knew that anaphylaxis could occur without skin symptoms. The rate of using adrenalin for anaphylaxis treatment was 74.8% and the ratio of the participants who knew the dose correctly was 65%. The administration route of adrenalin was stated as intravenous by 52.5% and intramuscular by 13.1% of the participants.
The rate of preoperatively questioning the patient’s history of a drug and food allergy was 91.5% and 81.2%, respectively. The answers revealed that 61% of the participants were worried when administering anesthesia to a patient with history of drug allergy.
Conclusion: Although the knowledge of anesthetists regarding anaphylaxis is generally sufficient, its importance emphasized during specialization training and training should be continuous and current.

Keywords: anaphylaxis, anesthetists, attitude, drug allergy

Corresponding Author: Sengül Özmert, Türkiye

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