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Assessment of complications after anesthesia in the postanesthetic care unit of the oncology hospital
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Original Article
VOLUME: 52 ISSUE: 1
P: 73-85
2019

Assessment of complications after anesthesia in the postanesthetic care unit of the oncology hospital

Acta Haematol Oncol Turc 2019;52(1):73-85
DOI: 10.5505/aot.2019.49344
Selma Ölmez 1
Menşure Kaya 2
Dilek Kalaycı 2
Seda Yılmaz 2
Erdal Eskiçırak 2
Süheyla Ünver 2
1. Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey
2. Dr AY Ankara Oncology Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey
3.
No information available.
No information available
Received Date: 2018-06-04T14:36:15
Accepted Date: 2019-04-09T13:35:34
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Abstract

INTRODUCTION

In order to fight postoperative complications quickly and effectively, it is necessary to know the complications that are specific or not specific to the surgical procedure and to take precautions against them. Our aim in this study was to determine the most common postoperative complications and predictive factors in the postanesthetic care unit (PACU).

METHODS

A total of 1000 patients between 18-70 years of age undergoing elective surgery were included in the study. Patients were monitored for cardiovascular, respiratory, neuromuscular, gastrointestinal, neurologic and other complications during the first 24 hours of the operation. Patients' age, gender, ASA scores, preoperative risk factors, duration of operation, anesthesia methods, postoperative pain scores and duration of stay in the postanesthetic care unit were recorded.

RESULTS

Postoperative cardiovascular complications (24%) and gastrointestinal system complications (14%) were observed most frequently. The incidence of hypotension and tachycardia in patients undergoing combined spinal epidural anaesthesia and the incidence of bradycardia after spinal anesthesia was higher (p <0,05). The incidence of postoperative hypertension development was 3,6 times higher in patients with preoperative hypertension (p = 0.001). Nausea was higher in patients receiving general anesthesia (19,8%). It was found that the long operation time effected postoperative bradycardia, tachycardia and arrhythmia incidence (p <0,05). There was a positive correlation between high ASA scores and cardiovascular and respiratory complications.

DISCUSSION AND CONCLUSION

In our study, the most common postoperative complications were cardiovascular system complications. It was seen that the incidence of pain and nausea-vomiting was similarly high in the literature. It was found that the cardiovascular and respiratory complications extended the duration of stay in PACU. Age, presence of accompanying comorbidities, and ASA scoring were found to be determinants of possible complications. The presence of these risk factors should be stimulating for both the anesthesia and the surgical team.