Frequecy and Distribution of Emergency Surgeries in Adıyaman Province

Yıl 2018, Cilt: 4 Sayı: 3, 1105 - 1117, 15.12.2018

Öznur Uludağ , Abuzer Uludağ , Hatice Kuşderci Ülkü Sabuncu , Ebru Dumlupınar Ruslan Abdullayev

https://doi.org/10.30569/adiyamansaglik.473474

Öz

Aim:
Emergency anesthesia is the anesthesia procedure applied during an unplanned
surgery. Determination of emergency surgery profile of a province will allow
surgeons to be ready for possible cases, and for the patients to be operated in
better conditions. Aim of this study was to determine frequency and
distribution of surgeries performed after admission to emergency clinic in
Adiyaman province. 

Method:
Patients who had emergency surgery at operating theater of Adiyaman University
Research and Education Hospital between 01.01.2014 and 31.12.2014 were
retrospectively evaluated. Age, sex, diagnosis, operating clinic, anesthesia
method applied, and date of surgery were recorded. Data were evaluated using
SPSS 21.0 package program. A p value ˂0,05 was accepted as statistically
significant.

Results:
Data of a total of 583 patients were evaluated. Among them 370 (63,5%) were
males and the rest were females. The branches that most commonly performed
surgeries were general surgery, pediatrics, orthopedics, and brain surgery.
Anesthesia was applied by endotracheal intubation in 96.4%, laryngeal mask
(LMA) in 1.2%, spinal anesthesia in 2.2%, and regional intravenous anesthesia
(RIVA) in 0.2% of the patients. Evaluation of seasonal variation of emergency
operations revealed that the cases were most common in summer and least common
in winter.

Conclusion:
In Adiyaman province emergency surgeries were ≥500/year. The branches that most
commonly performed surgeries were general surgery, pediatrics, orthopedics, and
brain surgery. Emergency operations were most commonly performed in summer
months. 

Anahtar Kelimeler

Emergency surgical operation; emergency anaesthesia; general anaesthesia

Adıyaman İlinde Acil Cerrahi Operasyonların Sıklık ve Dağılımı

Öz

Amaç:
Acil anestezi planlı olmayan cerrahi işlemler için verilen anestezidir.
Bölgelerin acil cerrahi profilinin belirlenmesi ameliyat ekibinin gelebilecek
olgulara hazırlıklı olmasına ve hastaların daha iyi şartlarda ameliyata
alınmasına imkân sağlayacaktır. Bu çalışmada, Adıyaman ilinde acil kliniğine
başvurup acil şartlar altında ameliyat olan hastaların sıklık ve dağılımının
belirlenmesi amaçlandı.

Yöntem:
Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi ameliyathanesinde
01.01.2014-31.12.2014 tarihleri arasında acil cerrahi operasyon geçiren
hastalar retrospektif olarak incelendi. Hastaların yaş, cinsiyet, tanı,
operasyonu gerçekleştiren klinik, kullanılan anestezi yöntemi ve operasyonun
yapıldığı tarih kaydedildi. Veriler SPSS 21.0 programı kullanılarak
değerlendirildi. p˂0,05 değeri istatistiksel olarak anlamlı kabul edildi.

Bulgular:
Toplamda 583 hastanın verileri incelendi. Bunların 370’i (%63,5) erkek, geri
kalanı kadındı. En çok acil cerrahi uygulanan bölümler genel cerrahi, çocuk
cerrahisi, ortopedi ve beyin cerrahisiydi. Hastaların %96,4’ü endotrakeal
entübasyon, %1,2’si laringeal maske (LMA), %2,2’si spinal anestezi, %0,2’si de
rejyonel intravenöz anestezi (RİVA) ile anestezi aldı. Acil operasyonların
mevsimsel dağılımı incelendiğinde, en fazla vakanın yaz, en az vakanın ise kış
aylarında alındığı gözlemlendi.

Sonuç:
Adıyaman ilinde yılda 500’ün üzerinde hasta acil cerrahi geçirmektedir. En
fazla acil cerrahi yapan bölümler genel cerrahi, çocuk cerrahisi, ortopedi ve
beyin cerrahisidir. En fazla acil cerrahi yaz aylarında yapılmaktadır.

Anahtar Kelimeler

Acil cerrahi operasyon; acil anestezi; genel anestezi

Kaynakça

• 1. Jensen AG, Callesen T, Hagemo JS, Hreinsson K, Lund V, Nordmark J.Scandinavian clinical practice guidelines on general anesthesia for emergency situations. Acta Anaesthesiol Scand 2010; 54(8):922-50.
• 2. Imarengiaye C. Anaesthetic management of surgical emergencies. Journal of postgraduate medicine 2009; 11 (1): 40-5.
• 3. Patel S, Lutz JM, Panchagnula U, Bansal S. Anesthesia and perioperative management of colorectal surgical patients. A Clinical review (Part 1). J Anaesthesiol Clin Pharmacol 2012;28(2):162-71.
• 4. Patel S, Lutz JM, Panchagnula U, Bansal S. Anesthesia and perioperative management of colorectal surgical patients-spesific issues (part 2). J Anaesthesiol Clin Pharmacol 2012;28(3):304-13.
• 5. Aydın D. Miller Anesthesia, 6.basımdan çeviri, İzmir Güven Kitabevi 2010,63;2451-95.
• 6. Berdnar DA, Parikh J: Effect of time delay from injury to primary management on the incidence of deep infection after open fractures of the lover extremities caused by blunt trauma in adults. J Orthop Trauma 1993;7: 532-5.
• 7. Kluger MT, Short TG. Aspiration during anaesthesia:a review of 133 cases from the Australian Anaesthetic Incident monitoring study (AIMS). Anaesthesia 1999;54 (1):19-6.
• 8. Rocke DA, Rout CC, Gouws E. Intravenous administration of the proton pump inhibitör omeprazole reduces the risk of acid aspiration at emergency cesarean section. Anesth Analg 1994; 78(6):1093-8.
• 9. Saunders DI, Murray D. Pichel AC, Varley S, Peden CJ. Variations in mortality after emercency laparotomy : the first report of the UK Emerceny Laparatomy Network.Br J Anaesth 2012;109 (3):368-75.
• 10. Davidson EM, Ginosor Y, Avidan A. Pain management and regional anaesthesia in the trauma patient. Curr Opin Anaesthesiol 2005;18(2): 169-74.
• 11. Kakar PN, Roy PM, Pant V, Das J. Anesthesia for joint replacement surgery: Issues with coexisting diseases. J Anaesthesiol Clin Pharmacol 2011; 27(3): 315-22.
• 12. Guglielmo L, Pignataro A, Di Fiore G, Lanza V, Mercadante S. Conversion of spinal anesthesia into general anesthesia: an evaluation of more than 35,000 spinal anesthetics. 2010; 76(9): 714-19.
• 13. Mustola ST, Baer GA, Metsä-Ketelä T, Laippala P. Haemodynamic and plasma catecholamine responses during, total intravenous anaesthesia for laringomicroscpy. Thiopentone compared with propofol. Anesthesia 1995;50(2):108-13.
• 14. Brossy MJ, James MF, Janicki PK. Haemodynamic and catecholamine changes after induction of anaesthesia with either thipentone or propofol with suxamethonium. Br J Anaesth 1994;72(5):596-8.
• 15. Ortega-Gonzales M. Anaesthesia for trauma patients. S Afr Fam Pract 2012;54:2-6.
• 16. Kaya Z, Arıcı S, Karaman S, Doğru S, Süren M, Karaman T, Kahveci M. Acil Ünitesine Başvurup Acil Operasyona Alınan Hastaların Retrospektif Olarak Değerlendirilmesi. Van Tıp Dergisi 2014; 21(1):22-8.
• 17. Murray CJL, Lopez AD: The Global Burden of Disease. Cambridge, MA, Harvard University Press, 1996; 1-4.
• 18. Mullins RJ, Veum-Stone J, Hedges JR, Zimmer-Gembeck MJ, Mann NC, Southard PA, et al: Influence of a statewide trauma system on location of hospitalization and outcome in injured patients. J Trauma 1996; 40:5 36-5.
• 19. Bielecki K: Trauma care for the the year 2000. Przegl Lek 2000; (5): 127-8.
• 20. Lansink KW, Leenen LP. Do designated trauma systems improve outcome? Curr Opin Crit Care 2007; 13(6): 686-90.
• 21. Dogru S, Karaman T, Tapar H, Şahin A, Karaman S, Somuk Bt, Sapmaz E, Dogru H, Arıcı S, Süren M, Kaya Z, Karakış A Acil Operasyonların Degişken Dağılımı Anestezi Dergisi 2016; 24 (1): 35-8.