Surgical anaesthesia: A study onutilization, risk factors, and complications

• Author Details:   
• Nayana P Kunderi
• Swetha Harshini M
• Bhavana M
• Arindam Bera
• Ajay Kumar Rajwade
• E. Satheesh Kumar
• Sapna Patil
• L Padma

Background: Anesthesia is a medical intervention that prevents patients from feeling pain during procedures like surgery, certain screening and diagnostic tests, tissue sample removal (e.g., skin biopsies), and dental work.

Materials and Methods: A cross-sectional study was performed on the in-patients. All in patients undergoing surgeries under anesthesia were reviewed before and after the procedure. Patient data including demographics, chief complaints, and past medical, medication, family, and social histories, surgical methods, types of anesthesia etc, were collected. The collected data was recorded in a patient profile form and anesthesia evaluation form.

Results: Among 300 patients, there were (61.7%) male and (38.3%) female. The largest group was between the ages of 38 and 48, with 74 patients. The most typical length of hospital stays encompassing 139 cases (46.3%) was 6–10 days. The most commonly used anesthesia was subarachnoid block (SAB) in 147 patients (49.0%), followed by general anesthesia (GA) in 110 patients (36.7%). The most frequent complication was hypotension caused by SAB in 28 patients. Followed by bronchospasm and laryngospasm in 17 patients where GA was administered. An increased incidence of hypotension in 20 patients and bronchospasm and laryngospasm in 18 patients was observed in the supine position.

Conclusion: SAB was most commonly used in this study, which had a greater incidence of hypotension, which was conservatively managed by ephedrine. Followed by GA, where broncho and laryngospasm were assessed pre-anesthetically by neb. Duolin and Budecort.