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SUCCINYLCHOLINE USE BY ANESTHESIOLOGISTS IN CROATIA – IS IT REALLY ABANDONED?

MLADEN CAREV
NENAD KARANOVIĆ
ANTE UJEVIĆ
GORAN KARDUM
VESNA ČENGIĆ
NATASHA FUNCK
NATAŠA ČULIĆ
GORAN RAČIĆ
ZORAN ĐOGAŠ

Puni tekst: hrvatski, pdf (108 KB) str. 8-13 preuzimanja: 316* citiraj
APA 6th Edition
CAREV, M., KARANOVIĆ, N., UJEVIĆ, A., KARDUM, G., ČENGIĆ, V., FUNCK, N., ... ĐOGAŠ, Z. (2010). UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?. Liječnički vjesnik, 132 (1-2), 8-13. Preuzeto s https://hrcak.srce.hr/63552
MLA 8th Edition
CAREV, MLADEN, et al. "UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?." Liječnički vjesnik, vol. 132, br. 1-2, 2010, str. 8-13. https://hrcak.srce.hr/63552. Citirano 09.12.2019.
Chicago 17th Edition
CAREV, MLADEN, NENAD KARANOVIĆ, ANTE UJEVIĆ, GORAN KARDUM, VESNA ČENGIĆ, NATASHA FUNCK, NATAŠA ČULIĆ, GORAN RAČIĆ i ZORAN ĐOGAŠ. "UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?." Liječnički vjesnik 132, br. 1-2 (2010): 8-13. https://hrcak.srce.hr/63552
Harvard
CAREV, M., et al. (2010). 'UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?', Liječnički vjesnik, 132(1-2), str. 8-13. Preuzeto s: https://hrcak.srce.hr/63552 (Datum pristupa: 09.12.2019.)
Vancouver
CAREV M, KARANOVIĆ N, UJEVIĆ A, KARDUM G, ČENGIĆ V, FUNCK N i sur. UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?. Liječnički vjesnik [Internet]. 2010 [pristupljeno 09.12.2019.];132(1-2):8-13. Dostupno na: https://hrcak.srce.hr/63552
IEEE
M. CAREV, et al., "UPORABA SUKCINIL-KOLINA MEĐU HRVATSKIM ANESTEZIOLOZIMA – JE LI TAJ LIJEK ZAISTA ODBAČEN?", Liječnički vjesnik, vol.132, br. 1-2, str. 8-13, 2010. [Online]. Dostupno na: https://hrcak.srce.hr/63552. [Citirano: 09.12.2019.]

Sažetak
The aim was to establish the prevalence of succinylcholine use among Croatian anesthesiologists in adult elective and emergency surgery, as well as in pediatric surgery, regarding gender, position, working place, and working experience of physicians. The anesthesiologists were expected to express their personal opinions regarding the drug, as well as experienced side effects in their own clinical practice. A total of 125 anesthesiologists (out of 590 in Croatia) from both university and county hospitals in Croatia anonymously filled out the questionnaire regarding the use of succinylcholine (Appendix 1). The questionnaire was structured to assess the use of succinylcholine in adult elective and emergency surgery, and in pediatric anesthesia, to obtain the reasons for the preference or rejection of succinylcholine, and information about observed side effects. The differences in use regarding gender, position, working place, and working experience were tested using chi-squared test and Fisher’s exact test. p<0.05 was considered significant. Vast majority (approximately 70%) of anesthesiologists in Croatia still use succinylcholine. The percentages of anesthesiologists that never use succinylcholine in adult elective, adult emergency and pediatric surgery were 20%, 6%, and 31%, respectively. There were no significant differences in the use of succinylcholine regarding position, working place, and working experience, but male anesthesiologists used it less frequently in pediatric anesthesia compared with their female colleagues (2= 5.08; p=0.02). Forty-two per cent never experienced a complication from the drug use. The most frequently reported side effects were bradycardias (67%) and myalgias (54%), followed by prolonged blockade (33%), and allergy (33%). Asystole was reported by 10% of the respondents. In conclusion, succinylcholine is still widely used by anesthesiologists in Croatia. The majority of surveyed physicians were aware of its possible dangerous adverse effects, but still use it in certain situations. Therefore, indications and contraindications for its use deserve expert consensus guidelines based on the available scientific evidence.

Ključne riječi
Neuromuscular depolarizing agents – therapeutic use, adverse effects; Succinylcholine – therapeutic use, adverse effects; Neuromuscular nondepolarizing agents – therapeutic use; Androstanols – therapeutic use; Anesthesiology – methods, statistics and numerical data; Attitude of health personnel; Questionnaires; Croatia

Hrčak ID: 63552

URI
https://hrcak.srce.hr/63552

[hrvatski]

Posjeta: 657 *