A retrospective analysis of non-operating room anesthesia practices at a university hospital

Year 2024, Volume: 15 Issue: 53, 130 - 136, 05.12.2024

Senem Urfalı , Mehmet Murat Çelik , Mehmet Karadağ , Mehmet Çömez , Buket Akkurt , Onur Koyuncu

Abstract

Objective: The use of non-operating room anesthesia is increasing due to its advantages in procedure success and patient management. This study aims to retrospectively evaluate the complication rates and patient outcomes in non-operating room anesthesia practices at a university hospital over a two-year period.
Method: After obtaining ethical approval, the records of patients who underwent sedation-analgesia outside the operating room for diagnostic and therapeutic purposes between 2018 and 2020 were retrospectively analyzed. Recorded data included age, gender, weight, American Society of Anesthesiologists (ASA) physical status classification, comorbidities, types of procedures, anesthesia and recovery times, medications used, and complications.
Results: A total of 1199 patients were included in the study, with 759 (63.3%) adults and 440 (36.7%) pediatric patients. The patient group comprised 829 (69.1%) female and 370 (30.9%) male, with a mean age of 35.62 ± 28.69 years (0-98). Of the patients, 547 (46.1%) were in the ASA 2 risk group. The most common procedure was Magnetic Resonance Imaging (MRI) 541 (45.1%). The most frequently used anesthetic regimen was a combination of midazolam, propofol, and ketamine 840 (70.1%). Hypotension was the most common complication 44 (3.7%), followed by bradycardia 38 (3.2%). Hypertension was the most frequently 144 (12.0%) observed comorbidity.
Conclusion: The frequency of non-operating room anesthesia procedures is steadily increasing due to growing patient and surgeon satisfaction. Comprehensive preanesthetic evaluations, ensuring appropriate physical conditions and patient-specific drug selection are crucial for appropriate and rapid interventions for possible complications.

Keywords

Non-operating room anesthesia practices, pre-anesthetic evaluation, sedation, anesthetic agents, complications

Ethical Statement

Ethical permission was obtained from the Hatay Mustafa Kemal University, Medical Faculty Non-interventional Clinical Research Ethics Committee for this study with date November 3, 2021 and number 26, and Helsinki Declaration rules were followed to conduct this study.

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