Choice of anesthesia by experienced anesthetists in personal surgical scenarios

Abstract

Introduction: Anesthesia is an important part of surgical intervention; it is vital to the benefit, comfort, and health of a patient during operations and in their recovery periods. Despite the voluminous literature on usual anesthesia regimens, an analysis of how professional anesthetists select the anesthesia techniques for use when they or their relatives need surgery has not been adequately documented. This research aims at establishing this preference among experienced anesthetists regarding decision-making that comes from experience as well as personality. The study also seeks to find out how these preferences are influenced by factors like level of clinical practice, level of education, and professional status, and in profiling the process of decision-making, integrating professional and personal factors.

Methodology: A self-compiled cross-sectional study was administered to 222 anesthetists working in several tertiary care centers. The closed-ended survey questions included questions on demographic attributes, choice of anesthesia techniques depending on the type of surgery, and management of postoperative pain. Descriptive data, in the form of frequencies and percentages, were computed in an effort to find out patterns of anesthesia choices.

Results: The study showed the anesthetists’ inclination towards using general anesthesia with endotracheal intubation in laparoscopic surgeries as well as spinal anesthesia in the obstetrics surgeries. A combined spinal epidural was opted for in total knee replacements. Preferences towards anesthesia differences also varied depending on the professional affiliation and educational level, where those with higher qualifications had a higher inclination towards the use of regional anesthetic techniques. Postoperative pain is preferred to be managed using multimodal analgesia, especially in surgeries with high pain scores.

Conclusion: This article discusses how anesthetists with years of practice make the choices of anesthesia with both the medical aspects in mind, as well as the anesthetists’ preferences. These insights can improve patient counselling and support the high-quality, more targeted anesthesia care plans, which may contribute to better outcomes. The future studies need to be conducted in order to explore these preferences and their consequences for clinical practice in detail.

Keywords: Anesthesia preferences; Decision-making; Experience; Patient-centered care; Personal surgical scenario; 

Citation: Zahid MA, Ali W, Siddiqui MA, Khan MR, Hassan A, Hasan MF. Choice of anesthesia by experienced anesthetists in personal surgical scenarios. Anaesth. pain intensive care 2025;29(8):988-992. DOI: 10.35975/apic.v29i8.3028

Received: June 06, 2025; Revised: July 01, 2025; Accepted: July 26, 2025