Healthcare Provider Perspectives on Anesthesia in Down Syndrome: A Cross-Sectional Study in Benghazi, Libya
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Abstract
Background: Patients with Down syndrome (DS) present unique anatomical and physiological challenges that require specialized anesthetic management. This study aimed to evaluate the knowledge, attitude, and perception (KAP) of healthcare providers regarding anesthesia for DS patients in Benghazi, Libya. Methods: A descriptive cross-sectional study was conducted from January to December 2025 across the Benghazi Medical Center (BMC) and local rehabilitation centers. A pre-validated, three-section questionnaire was administered to assess demographics, knowledge, attitudes, and concerns. Results: The study included 51 healthcare providers, predominantly anesthesiologists (63%). While 86.3% of participants were aware of the increased risks of bradycardia and hypotension during anesthesia induction , 60.8% reported having no specific training in managing patients with special needs. Airway management was cited as the most significant clinical challenge (60%). A vast majority (94.1%) agreed that DS patients require tailored anesthetic protocols , and 90% expressed a strong need for additional training. The primary barriers to safe care were identified as a lack of experience/training (35%) and a lack of specialized equipment (24%). Conclusion: Healthcare providers in Benghazi demonstrate adequate foundational awareness and a positive attitude toward specialized care for DS patients. However, significant gaps exist in formal training and access to specialized equipment, highlighting the urgent need for targeted educational programs and institutional protocols.
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