Awareness of procedure specific pain management (PROSPECT) in pain management after total hip arthroplasty surgery among anesthesiology and reanimation physicians survey study

Aims: Procedure-specific pain management (PROSPECT) provides clinicians with evidence-based recommendations for postoperative pain management. We aimed to evaluate Anesthesiology and Reanimation physicians' preferences for analgesia management after total hip arthroplasty (THA) surgery. Methods: A questionnaire consisting of 19 questions including demographic data, analgesia methods used for THA surgery and whether PROSPECT recommendations were followed was prepared. This questionnaire was sent to the participants via e-mail. Results: A total of 199 participants responded to the survey. 43.8% of the participants reported following PROSPECT recommendations. Only 6.5% of the participants did not prefer opioids for analgesia after THA surgery, while 14.1% reported that they routinely used opioids and the rest preferred them in combination with other techniques. Conclusion: Since THA surgery is mostly performed in the elderly population with comorbid diseases, there is no consensus among anesthesiology and reanimation physicians about postoperative analgesia methods. We think that postoperative pain management trainings in THA surgery should be increased and PROSPECT recommendations should be disseminated in these trainings.