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Journals / Ebelik ve Sağlık Bilimleri Dergisi / 2026 / Volume: 9 Issue: 1

Systemic Toxicity of Local Anesthetics: Assessment of Midwives' Awareness and Knowledge Proficiency

Lokal Anesteziklerin Sistemik Toksisitesi: Ebelerin Farkındalık ve Bilgi Yeterliliğinin Değerlendirilmesi

Ömer Doymuş(UNIVERSITY OF HEALTH SCIENCES, ERZURUM REGION HEALTH RESEARCH CENTER, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF ANESTHESIOLOGY)0000-0002-4377-4490
Pelin Aydın(UNIVERSITY OF HEALTH SCIENCES, ERZURUM REGION HEALTH RESEARCH CENTER, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF ANESTHESIOLOGY AND REANIMATION)0000-0001-7279-7758
Pages
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Publication Date
2026-03-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our findings indicate that midwives require training to enhance their awareness and understanding of the symptomatology, prevention, and management of local anesthetic systemic toxicity.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The main aim of our study was to assess midwives' comprehension and knowledge regarding the systemic toxicity linked to frequently utilized local anesthetics.
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Key Findings & Data:Materials and Methods: The study comprised 181 midwives employed in various hospitals throughout Turkey.
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Conclusion & Impact:Conclusion: Our findings indicate that midwives require training to enhance their awareness and understanding of the symptomatology, prevention, and management of local anesthetic systemic toxicity.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Local Anesthetics · Midwifery · Systemic Toxicity

Abstract

Aim: The main aim of our study was to assess midwives' comprehension and knowledge regarding the systemic toxicity linked to frequently utilized local anesthetics. Materials and Methods: The study comprised 181 midwives employed in various hospitals throughout Turkey. A survey served as the instrument for data gathering. The acquired data were statistically evaluated with IBM SPSS Statistics 25.0 for Windows. Results: In response to treatment of local anesthetic systemic toxicity, 16.6% of participants recommended ceasing local anesthetic administration, 66.9% advocated for oxygen administration and airway management, and 16.6% suggested the administration of a 20% lipid solution. A statistically significant shift was noted just for the symptom of "imbalance" in the evaluation of participants' awareness of early-stage symptoms. Upon evaluating their awareness of late-stage symptoms and professional experience, only the responses pertaining to respiratory depression demonstrated statistical significance. Conclusion: Our findings indicate that midwives require training to enhance their awareness and understanding of the symptomatology, prevention, and management of local anesthetic systemic toxicity.

Özet

Amaç: Çalışmamızın temel amacı, ebelerin sık kullanılan lokal anesteziklerle bağlantılı sistemik toksisite konusundaki anlayış ve bilgilerini değerlendirmektir. Gereç ve Yöntemler: Çalışma, Türkiye genelindeki çeşitli hastanelerde çalışan 181 ebeyi kapsamaktadır. Veri toplama aracı olarak bir anket kullanılmıştır. Elde edilen veriler IBM SPSS Statistics 25.0 for Windows ile istatistiksel olarak değerlendirilmiştir. Bulgular: Lokal anestezik sistemik toksisitesinin tedavisine yanıt olarak, katılımcıların %16,6'sı lokal anestezik uygulamasının durdurulmasını, %66,9'u oksijen uygulaması ve hava yolu yönetimini ve %16,6'sı %20'lik lipit solüsyonu uygulanmasını önermiştir. Katılımcıların erken dönem semptomlarının farkındalığının değerlendirilmesinde, sadece "dengesizlik" semptomunda istatistiksel olarak anlamlı bir değişim gözlenmiştir. Geç dönem semptomlarının farkındalığı ve mesleki deneyimleri değerlendirildiğinde ise, yalnızca solunum depresyonu ile ilgili yanıtlar istatistiksel olarak anlamlı bulunmuştur. Sonuç: Bulgularımız, ebelerin lokal anestezik sistemik toksisitesinin semptomatolojisi, önlenmesi ve yönetimi konusunda farkındalıklarını ve anlayışlarını artırmak için eğitime ihtiyaç duyduklarını göstermektedir.

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Cite This Article

Doymuş, Ö., Aydın, P. (2026). Systemic Toxicity of Local Anesthetics: Assessment of Midwives' Awareness and Knowledge Proficiency. Ebelik ve Sağlık Bilimleri Dergisi, Volume: 9 Issue: 1. https://doi.org/10.62425/esbder.1814664

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