- Visibility 108 Views
- Downloads 111 Downloads
- Permissions
- DOI 10.18231/j.ctppc.v.7.i.3.3
-
CrossMark
- Citation
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.
References
- National institute of general medical sciences. (n.d.). National Institute of General Medical Sciences (NIGMS), 2024: Available From: https://www.grantforward.com/sponsor/detail/national- institute-of-general-medical-sciences-1504
- Effects of anasthesia. American society of anesthesiologist-Made for this moment. Available From: https://madeforthismoment.asahq.org/
- Bhandarkar P, Gadgil A, Patil P, Mohan M, Roy N. Estimation of the national surgical needs in India by enumerating the surgical procedures in an urban community under universal health coverage. World J Surg. 2020;45(1):33–40.
- Smith G, D'Cruz JR, Rondeau B. General Anesthesia for Surgeons. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024;
- Ghodki PS, Sardesai SP, Naphade RW. Combined spinal and general anesthesia is better than general anesthesia alone for laparoscopic hysterectomy. Saudi J Anaesth. 2014;8(4):498-503.
- Narinder R. Epidural analgesia for postoperative pain-improving outcome or adding risk?, Best Pract Res Clin Anaesthesiol, 2020;35(1):53-65.
- Haitov Ben Zikri Z, Volis M, Mazur A, Orlova T, Alon H, Bar Yehuda S. et al. The Effect of Various Combinations of Peripheral Nerve Blocks on Postoperative Pain in Laparoscopic Cholecystectomy: A Comparative Prospective Study. Int J Clin Pract. 2023: 8864012.
- Panda A, Muni MK, Nanda A. A Comparative Study of Hemodynamic Parameters Following Subarachnoid Block in Patients With and Without Hypertension. Cureus. 2022;14(1):e20948
- Alex Looseley, Management of bronchospasm during general anaesthesia, Anaesthesia. 2011,14
- Parida S, Thangaswamy CR. Cardiac tachyarrhythmias and anaesthesia: General principles and focus on atrial fibrillation. Indian J Anaesth. 2017;61(9):712-720.
- Paix AD, Runciman WB, Horan BF, Chapman MJ, Currie M. Crisis management during anaesthesia: hypertension. Qual Saf Health Care. 2005;14(3):e12
- Uemura Y, Kinoshita M, Sakai Y, Tanaka K. Hemodynamic impact of ephedrine on hypotension during general anesthesia: a prospective cohort study on middle-aged and older patients. BMC Anesthesiol. 2023;23(1).
- Mohta M, Agarwal D, Gupta LK, Sethi AK, Tyagi A. Potency of mephentermine for prevention of post-spinal hypotension. Anaesth Intensive Care. 2009;37(4):568 70.
- Yancey R. Anesthetic management of the hypertensive patient: Part II. Anesth Prog. 2018;65(3):206–13.
- Zambouri A. Preoperative evaluation and preparation for anesthesia and surgery. Hippokratia. 2007;11(1):13-21.
- Antonia C. Mayell, Hypertension in anaesthesia. WFSA Resource Library. 2020.
- Farling PA. Thyroid disease. Br J Anaesth. 2000;85(1):15–28.
- Carrick MA, Robson JM, Thomas C. Smoking and anaesthesia. BJA Educ. 2019;19(1):1-6.
- Chapman R. Continuing Education in Anaesthesia Critical Care & Pain. Alcohol Anaesth, 2009;9(1):10–3
- Narendra PL, Hegde HV, Vijaykumar TK, Nallamilli S. Betel quid, chewing habits and difficult intubation: A case report and critical appraisal of evidence for practice. Anesth Essays Res. 2015;9(1):105–8.
How to Cite This Article
Vancouver
Kunderi NP, M SH, M B, Bera A, Rajwade AK, Kumar ES, Patil S, Padma L. Surgical anaesthesia: A study onutilization, risk factors, and complications [Internet]. Curr Trends Pharm Pharm Chem. 2025 [cited 2025 Oct 08];7(3):92-102. Available from: https://doi.org/10.18231/j.ctppc.v.7.i.3.3
APA
Kunderi, N. P., M, S. H., M, B., Bera, A., Rajwade, A. K., Kumar, E. S., Patil, S., Padma, L. (2025). Surgical anaesthesia: A study onutilization, risk factors, and complications. Curr Trends Pharm Pharm Chem, 7(3), 92-102. https://doi.org/10.18231/j.ctppc.v.7.i.3.3
MLA
Kunderi, Nayana P, M, Swetha Harshini, M, Bhavana, Bera, Arindam, Rajwade, Ajay Kumar, Kumar, E. Satheesh, Patil, Sapna, Padma, L. "Surgical anaesthesia: A study onutilization, risk factors, and complications." Curr Trends Pharm Pharm Chem, vol. 7, no. 3, 2025, pp. 92-102. https://doi.org/10.18231/j.ctppc.v.7.i.3.3
Chicago
Kunderi, N. P., M, S. H., M, B., Bera, A., Rajwade, A. K., Kumar, E. S., Patil, S., Padma, L.. "Surgical anaesthesia: A study onutilization, risk factors, and complications." Curr Trends Pharm Pharm Chem 7, no. 3 (2025): 92-102. https://doi.org/10.18231/j.ctppc.v.7.i.3.3