Retrospective analysis of the patients undergoing neuroanaesthesia between the years 2015-2019

Abstract

 In this study, it was aimed to retrospectively evaluate the patients who underwent neuroanesthesia in our clinic between 2015 and 2019. Material and Method: All patients who underwent neuroanesthesia between 01.01.2015 and 31.12.2019 at Ondokuz Mayıs University Medical Faculty Hospital were included in the study. Demographic characteristics, comorbidities, type of surgery performed, anesthesia management and complications were recorded. Results: A total of 5172 patients were included in our study. 52.9% of the patients were male and the mean age was 43.2%. It was observed that the patients were operated most frequently for herniopathy (21.3%), shunt/external ventricular drainage (19.7%) and cranial mass (18.7%), and 77.3% of the cases were elective surgery. The average duration of anesthesia was 145.9 minutes. Thiopental (46.7%) and propofol (45.6%) were used most frequently as induction agents, while rocuronium (93.7%) was preferred as neuromuscular blocking agent in almost all patients. Remifentanil (81.4%) was the most commonly used intraoperative analgesic. While inhalation anesthesia was preferred for maintenance in 3077 (59.5%) patients, total intravenous anesthesia was used in 1811 (35.1%) patients. Complications developed in 24.1% of the patients, and cardiovascular complications were observed in 71.9% of the patients. It was determined that 1282 patients (24.8%) needed postoperative intensive care. Conclusion: It was concluded that the repetition of retrospective studies at regular intervals would contribute to the development of anesthesiology by enabling both the evaluation of the practices in the same clinic and the comparison between clinics. Keywords: Neuroanesthesia, neurosurgery, perioperative period, retrospective

Keywords

• Neuroanesthesia
• neurosurgery
• perioperative period
• retrospective

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