Abstract
ÖZET
Amaç: Bu retrospektif çalışmada elektif jinekolojik operasyon geçiren hastaların postoperatif bakım ünitesinde (POBÜ) kalma sürelerinin ve bunları etkileyen faktörlerin incelenmesi hedeflenmiştir.
Gereç ve yöntem: Genel anestezi altında jinekolojik nedenlerle laparotomi yapılan, operasyonu 60 dakika ve üzerinde süren, rutin genel anestezi ve postoperatif analjezi uygulanmış, 18-80 yaş arası hastaların anestezi ve POBÜ kayıtları incelenmiştir. Hedef parametre olan POBÜ’nde kalış süresinin 60 dakika altında ya da üstünde oluşuna göre hastaların yaş, vücut kitle indeksi, operasyon süresi, ASA değeri, operasyon nedeninin patolojik özelliği, intraoperatif sıvı ve anestezik tüketimi, POBÜ’ne giriş Aldrete skoru, POBÜ’nde tedavi gereksinimi incelenmiştir.
Bulgular: POBÜ’nde kalış süresinin ≥ 60 dakika olma olasılığının “American Society of Anesthesiologist” (ASA) fizik durum sınıflamasına göre ASA değeri ≥ III olanlarda 3,27, malign nedenli operasyonlarda 2,38, POBÜ’ne giriş Aldrete skoru < 9 olması halinde 3,28, solunum fizyoterapisi ve invazif mekanik ventilasyon gereksinimi durumunda sırasıyla 3,37 ve 14,6 kat arttığı bulunmuştur.
Sonuç: Postoperatif bakım ve POBÜ kullanımı planlanırken, jinekolojik operasyon geçirecek hastalarda, ASA değeri ≥ III, patolojinin malign, POBÜ’ne giriş Aldrete skoru < 9 olmasının, solunum fizyoterapisi ve invazif mekanik ventilasyon gereksiniminin POBÜ’nde ≥ 60 dakika kalışa neden olabileceği göz önüne alınmalıdır.
Anahtar kelimeler: Postoperatif derlenme, postoperatif bakım ünitesinde kalış, genel anestezi, jinekolojik operasyon.
Keywords
Postoperatif derlenme postoperatif bakım ünitesinde kalış genel anestezi jinekolojik operasyon
References
- Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth 7;89-91, 1995.
- Ali Z, Prabhakar H, Bithal PK, Dash HH. Bispectral index-guided administration of anesthesia for transsphenoidal resection of pituitary tumors: a comparison of 3 anesthetic techniques. J Neurosurg Anesthesiol 21: 10-15. 2009.
- Awad IT, Chung F. Factors affecting recovery and discharge following ambulatory surgery. Can J Anaesth 53; 858-872, 2006.
- Brown I, Jellish WS, Kleinman Fluder E, Sawicki K, Katsaros J, Rahman R. Use of postanesthesia discharge criteria to reduce discharge delays for inpatients in the postanesthesia care unit. J Clin Anesth 20: 175-179,2008.
- Chung F, Mezei G. Factors contributing to a prolonged stay after ambulatory surgery. Anesth Analg1999; 89:1352-1359, 1999.
- Defina J, Lincoln J. Prevalence of Inadvertent Hypothermia During the Perioperative Period : A Quality Assurance and Performance Improvement Study. J Perianesth Nurs 13: 229-235, 1998.
- Ead H. From Aldrete to PADSS: Reviewing discharge criteria after ambulatory surgery. J Perianesth Nurs 21: 259-267, 2006.
- Eger EI, White PF, Bogetz MS. Clinical and economic factors important to anaesthetic choice for day-case surgery. Pharmacoeconomics 17:245-262, 2000.
- Fleming ND, Havrilesky LJ,Valea FA Allen TK, Broadwater G, Bland A, Habib AS. Analgesic and antiemetic needs following minimally invasive vs open staging for endometrial cancer. Am J Obstet Gynecol; 204: 65.e1-6, 2011.
- Friberg E, Orsini N, Mantzoros CS, Wolk A. Diabetes mellitus and risk of endometrial cancer: a meta-analysis. Diabetologia 50: 1365-74, 2007.
- Gärtner R, Callesen T, Kroman N, Kehlet H. Recovery at the post anaesthetic care unit after breast cancer surgery. Dan Med Bull 57: A4137, 2010.
- Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2009) Türkiye Nüfus ve Sağlık Araştırması, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı ve TÜBİTAK, Ankara, Türkiye, 2008.
- Kim W, Kil H, Kang J. Prediction on lengths of stay in the postanesthesia care unit following general anesthesia: preliminary study of the neural network and logistic regression delling. J Korean Med Sci 15: 25-30, 2000.
- Lehmann M, Mezzarobba P, Niederkorn S, Barbaray C, Lebraut M, Daurès JP, Fischler M. Facteurs explicatifs de la durée de passage en salle de surveillance postinterventionnelle. Ann Fr Anesth Reanim 16: 343-349,1997.
- Macario A, Glenn D, Dexter F. What can the postanesthesia care unit manager do to decrease costs in the postanesthesia care unit? J Perianesth Nurs 14: 284-293,1999.
- McGrath B, Chung F. Postoperative recovery and discharge. Anesthesiol Clin 21: 367-386, 2003.
- Montes FR, Trillos JE, Rincon IE Vanegas MV, Charris H. Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery. J Clin Anesth 14: 324-328,2002.
- Pelosi P, Jaber S. Noninvasive respiratory support in the perioperative period. Curr Opin Anaesthesiol 23: 233-238, 2010.
- Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371: 569-578, 2008.
- Seago JA, Weitz S, Walczak S. Factors influencing stay in the postanesthesia care unit: a prospective analysis. J Clin Anesth 10: 579-587, 1998.
- Shirakami G, Teratani Y, Namba T, Hirakata H, Tazuke-Nishimura M, Fukuda K. Delayed discharge and acceptability of ambulatory surgery in adult outpatients receiving general anesthesia. J Anesth 19: 93-101, 2005.
- Sprung J, Sanders MS, Warner ME Gebhart JB, Stanhope CR, Jankowski CJ, Liedl L, Schroeder DR, Brown DR, Warner DO. Pain relief and functional status after vaginal hysterectomy: intrathecal versus general anesthesia. Can J Anaesth 53: 690-700, 2006.
- Trevisan P, Gobber G. Quality of post-anesthetic care in a hospital without a Post-Anesthetic Care Unit. A clinical audit. Minerva Anestesiol 70: 631-642, 2004.
- Waddle J, Evers A, Piccirillo J. Postanesthesia care unit length of stay: quantifying and assessing dependent factors. Anesth Analg 87: 628-633, 1998.
- Watcha MF, White PF. Economics of anesthetic practice. Anesthesiology 86:1170-1096, 1997.
- Zoremba M, Dette F, Gerlach L, Wolf U, Wulf H. Short-term respiratory physical therapy treatment in the PACU and influence on postoperative lung function in obese adults. Obes Surg 19: 1346-1354,2009.
Abstract
References
- Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth 7;89-91, 1995.
- Ali Z, Prabhakar H, Bithal PK, Dash HH. Bispectral index-guided administration of anesthesia for transsphenoidal resection of pituitary tumors: a comparison of 3 anesthetic techniques. J Neurosurg Anesthesiol 21: 10-15. 2009.
- Awad IT, Chung F. Factors affecting recovery and discharge following ambulatory surgery. Can J Anaesth 53; 858-872, 2006.
- Brown I, Jellish WS, Kleinman Fluder E, Sawicki K, Katsaros J, Rahman R. Use of postanesthesia discharge criteria to reduce discharge delays for inpatients in the postanesthesia care unit. J Clin Anesth 20: 175-179,2008.
- Chung F, Mezei G. Factors contributing to a prolonged stay after ambulatory surgery. Anesth Analg1999; 89:1352-1359, 1999.
- Defina J, Lincoln J. Prevalence of Inadvertent Hypothermia During the Perioperative Period : A Quality Assurance and Performance Improvement Study. J Perianesth Nurs 13: 229-235, 1998.
- Ead H. From Aldrete to PADSS: Reviewing discharge criteria after ambulatory surgery. J Perianesth Nurs 21: 259-267, 2006.
- Eger EI, White PF, Bogetz MS. Clinical and economic factors important to anaesthetic choice for day-case surgery. Pharmacoeconomics 17:245-262, 2000.
- Fleming ND, Havrilesky LJ,Valea FA Allen TK, Broadwater G, Bland A, Habib AS. Analgesic and antiemetic needs following minimally invasive vs open staging for endometrial cancer. Am J Obstet Gynecol; 204: 65.e1-6, 2011.
- Friberg E, Orsini N, Mantzoros CS, Wolk A. Diabetes mellitus and risk of endometrial cancer: a meta-analysis. Diabetologia 50: 1365-74, 2007.
- Gärtner R, Callesen T, Kroman N, Kehlet H. Recovery at the post anaesthetic care unit after breast cancer surgery. Dan Med Bull 57: A4137, 2010.
- Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2009) Türkiye Nüfus ve Sağlık Araştırması, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı ve TÜBİTAK, Ankara, Türkiye, 2008.
- Kim W, Kil H, Kang J. Prediction on lengths of stay in the postanesthesia care unit following general anesthesia: preliminary study of the neural network and logistic regression delling. J Korean Med Sci 15: 25-30, 2000.
- Lehmann M, Mezzarobba P, Niederkorn S, Barbaray C, Lebraut M, Daurès JP, Fischler M. Facteurs explicatifs de la durée de passage en salle de surveillance postinterventionnelle. Ann Fr Anesth Reanim 16: 343-349,1997.
- Macario A, Glenn D, Dexter F. What can the postanesthesia care unit manager do to decrease costs in the postanesthesia care unit? J Perianesth Nurs 14: 284-293,1999.
- McGrath B, Chung F. Postoperative recovery and discharge. Anesthesiol Clin 21: 367-386, 2003.
- Montes FR, Trillos JE, Rincon IE Vanegas MV, Charris H. Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery. J Clin Anesth 14: 324-328,2002.
- Pelosi P, Jaber S. Noninvasive respiratory support in the perioperative period. Curr Opin Anaesthesiol 23: 233-238, 2010.
- Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371: 569-578, 2008.
- Seago JA, Weitz S, Walczak S. Factors influencing stay in the postanesthesia care unit: a prospective analysis. J Clin Anesth 10: 579-587, 1998.
- Shirakami G, Teratani Y, Namba T, Hirakata H, Tazuke-Nishimura M, Fukuda K. Delayed discharge and acceptability of ambulatory surgery in adult outpatients receiving general anesthesia. J Anesth 19: 93-101, 2005.
- Sprung J, Sanders MS, Warner ME Gebhart JB, Stanhope CR, Jankowski CJ, Liedl L, Schroeder DR, Brown DR, Warner DO. Pain relief and functional status after vaginal hysterectomy: intrathecal versus general anesthesia. Can J Anaesth 53: 690-700, 2006.
- Trevisan P, Gobber G. Quality of post-anesthetic care in a hospital without a Post-Anesthetic Care Unit. A clinical audit. Minerva Anestesiol 70: 631-642, 2004.
- Waddle J, Evers A, Piccirillo J. Postanesthesia care unit length of stay: quantifying and assessing dependent factors. Anesth Analg 87: 628-633, 1998.
- Watcha MF, White PF. Economics of anesthetic practice. Anesthesiology 86:1170-1096, 1997.
- Zoremba M, Dette F, Gerlach L, Wolf U, Wulf H. Short-term respiratory physical therapy treatment in the PACU and influence on postoperative lung function in obese adults. Obes Surg 19: 1346-1354,2009.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Clinical Research |
| Authors | |
| Publication Date | May 16, 2012 |
| Submission Date | May 16, 2012 |
| Published in Issue | Year 2012 Volume: 75 Issue: 1 |
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