Özet:

Purpose: Our study aims to determine the methods of pain treatment applied in our country’s intensive care units and, in particular, the frequency of application of regional analgesics and the attitudes and approaches regarding regional analgesics. Tool and Method: Our study was organized as an interim research in the nature of the survey. The web-based survey, which contained thirty questions, was sent by e-mail to specialized physicians working in intensive care in a computer environment. The survey form was submitted to the participants 4 times in a week interval. The person who did not complete the survey within four months was considered not to participate in the survey. Results: A total of 130 specialized doctors working in the intensive care units participated in our work. 45.4% of our participants said they had a protocol for analgesics in intensive care. The highest rate of opioids for pain treatment was determined, then non-steroidal anti-inflammatory drugs (NSAIDs), other pharmacological agents and regional analgesic methods were preferred. As a regional analgesic method, the most frequently was preferred lumbal epidural, cervical epidural, peripheral nerve blocks and local infiltration, but even in cases with appropriate indications, it was noted that regional analgesic methods have low preference rates. Factors that prevent the use of regional analgesic methods found hemodynamic instability (53.1%), coagulation profile variation (49.2%) and easier use of alternative analgesic methods (44.6%). In regional analgesic methods, the rates of complications in general were also very low. The result: In intensive care units, opioids and NSAIDs are most commonly used in the treatment of pain. Although the participating doctors expressed their belief in the positive effects of regional analgesic methods on patients, these methods are used in very low rates in intensive care units.

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