OUR PRACTICES OF OUTPATIENT ANESTHESIA AND COMPLICATIONS
Project no. 54 · Status: Kapanmış · 2016
Summary
INTRODUCTION / AIM: These are the applications where the duration of the outpatient surgery is short, there is no bleeding and fluid loss during the operation, there is no need for intraoperative or postoperative devices and the patients can be sent home on the same day after surgery. In this study, it is aimed to present our daily surgery results in our operating theatres. MATERIAL / METHOD: After obtaining the consent of Ege University Faculty of Medicine Ethics Committee and informed patients, 907 patients who had outpatient surgery were included in the prospective observational study. Non-day patients, emergency patients, non-operating room anesthesia applications and operations not accompanied by the anesthesia team were excluded from the study. General anesthesia, regional anesthesia or sedo-analgesia was applied to the patients according to the procedure to be performed. Demographic data of the patients, type of operation, duration of anesthesia and surgery, anesthetic and analgesic drugs used, intraoperative and postoperative complications, hospitalization rate were recorded. Statistical significance was investigated between risk factors associated with complications and demographics data, intraoperative and postoperative variables. RESULTS: Within the scope of the project, 2194 patients were evaluated in February 2020 and 907 (41.3%) of the patients met the criteria. Ophthalmology (67%) was the most frequent day-to-day clinic; neurosurgery (3.8%) was the least. Pediatric patients accounted for 26.8% (243 patients). The 52% of the patients (472 patients) were in the ASA I group. While pediatric patients were generally in the ASA I group, the majority of adult patients were in the ASA II group (?²: 82.68, p?0,001). The most common types of anesthesia were intratracheal general anesthesia (36.7%), mask anesthesia (18.7%) and laryngeal mask anesthesia (18.1%). Intraoperative complications and postoperative complications developed respectively in 2.9% of patients and in 1.9% of patients. The most common complications were hypertension, laryngospasm, hypoxia, hypotension and allergic reactions. It was found that the complications were associated with endoscopic operations and high basal heart rate. For various reasons, 1.65% of the patients (15 patients) were hospitalized. DISCUSSION / CONCLUSION: Advances in medical and monitoring technologies have led to a rapid increase in daily surgical practices. The use of fast and short-acting anesthetics, analgesics and neuromuscular blockers, as well as improved monitoring methods, will reduce anesthesia complications during recovery. While the endoscopic application of the operations and high basal heart rate were associated with complications, no anesthesia type was found.