Alt ve üst ekstremi̇te cerrahi̇leri̇nde anestezi̇ deneyi̇mleri̇mi̇z: Son alti yilin retrospekti̇f anali̇zi̇

Objective: The purpose of this study was to evaluate the anesthesia methods which was employed for lower and upper extremity surgeries in our clinic in last six years (2008-2013). Method: In this study; the records that are stored in the hospital computer system of lower and upper extremity surgeries performed between the years of 2008-2013 at Ataturk University Medical Faculty were analyzed. Annual distribution of anesthesia methods in operations were studied. Results: In our clinic, a total number of 10636 lower and upper extremity surgeries have been performed between the years 2008-2013. Rate application of general anaesthesia was 54.5% and it was 45.3% for regional anesthesia. While regional anesthesia application rate was 44.3% in 2008, this ratio increased to 49% in 2013, but this increase was not statistically significant. The most commonly used regional anesthesia method was spinal anesthesia (33.5%) in 2003, and peripheral nerve blocks (40.8%) in 2013. In last 3 years, a significant increase in peripheral nerve block applications and a decrease in the failure rate of it were observed. The most widely applied method in peripheral nerve blocks in 2013 was found to be the femoral+psoas+sciatic nerve block. Conclusion: The most commonly used anesthesia technique for lower and upper extremity surgeries was general anesthesia in our clinic in years 2008-2013. The most widely used regional anesthetic method in our clinic was peripheral nerve block. There has been a significant increase in the use of peripheral nerve blocks technique in the last three years.