Objective Anaesthesiologists are particularly vulnerable to burnout due to extended working hours, high-pressure situations, limited patient interactions, multiple responsibilities, and inherent tensions in relationships with surgeons and administrators. The study aimed to explore burnout levels and the factors associated with them among anaesthesiologists in a conflict-affected setting. Methods A cross-sectional study was carried out between May 2024 and August 2025 using a voluntary, anonymous, and electronic survey. The Copenhagen Burnout Inventory, demographics, and practice environment questions were included. Statistical analyses were conducted to identify factors associated with personal, work-related, and client-related burnout. A significance threshold of 0.05 was applied. Results Among the 82 anaesthesiologists, 57% experienced personal burnout, 51% experienced work-related burnout, and 28% experienced client-related burnout. Positive and significant associations were observed between working longer hours and personal burnout (adjusted ß [95% confidence interval (CI)]=15.6 (0.88; 30.3); P=0.04) and work-related burnout [adjusted ß (95% CI)=17.7 (3.68; 31.7); P=0.01], as well as between covering five or more night shifts per month and client-related burnout [adjusted ß (95% CI)=15.3 (3.86; 26.7); P=0.009]. Conclusion The findings reveal concerning levels of burnout among anaesthesiologists in conflict-affected regions, which is particularly important given the ongoing regional conflict and limited conflict-specific data, and highlight the potential role of modifiable predictors and associated factors. Targeted interventions are essential to support anaesthesiologists' well-being and ensure the effective functioning of healthcare institutions in such settings. Future studies with larger, randomly selected samples are warranted to further explore this issue.
Objective To assess changes in anaesthesia preference before and after structured preoperative counseling and to identify factors associated with anaesthesia preference among women scheduled for elective cesarean delivery. Methods This prospective, single-center, single-arm, pre-post observational study included 200 pregnant women classified as the American Society of Anesthesiologists physical status II. Data were collected using a structured questionnaire assessing demographic characteristics, obstetric history, previous anaesthesia experience, level of knowledge, and anaesthesia preference, both before and after counseling. Statistical analyses were performed using SPSS version 22.0, and a P value < 0.05 was considered statistically significant. Results At baseline, 53% of patients preferred spinal anaesthesia and 47% preferred general anaesthesia. Following counseling, the preference for spinal anaesthesia increased to 88.5% (P < 0.001). Increasing age was associated with a decreased likelihood of choosing spinal anaesthesia [odds ratio (OR)=0.94, 95% confidence interval (CI): 0.89-0.99], whereas higher education (OR=1.78, 95% CI: 1.05-3.02), prior knowledge (OR=1.65, 95% CI: 1.02-2.68), and previous spinal anaesthesia experience (OR=2.95, 95% CI: 1.65-5.28) were identified as independent predictors of spinal anaesthesia preference. No significant association was found between smoking and anaesthesia preference, or between comorbidities and anaesthesia preference. The postoperative satisfaction rate with the anaesthesia was 91.5%. Conclusion Following structured preoperative counseling, the preference for neuraxial anaesthesia increased among women scheduled for elective cesarean delivery. These findings suggest that standardized patient education may be a useful component of preoperative anaesthesia assessment.
