1887
Volume 2012, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

It is the first prospective study about anaesthesia related postoperative complications conducted in Hamad General Hospital. Total 1128 adult patients admitted to the Post Anaesthesia Care Unit (PACU) during a period of three months were surveyed for anaesthesia related complications. Documented complications were found in 48 patients i.e. 4.25% of patients' population. The types of complications were related to the respiratory system, cardiovascular system, nausea/vomiting and body temperature in this descending order. Most of the complications happened to healthy ASA I and II patients. Factors that play major role in determining the immediate postoperative complications were the ASA status, the level of anaesthesia seniority attending the patient, the urgency and the nature of procedure. We tried to find other factors that may influence complications in addition, discussed below.

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2013-11-01
2019-12-10
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References

  1. Pedersen T, Møller AM, Pedersen BD. Pulse oximetry for perioperative monitoring: systematic review of randomized controlled trials. Anesth Analg. 2003; 96::426431.
    [Google Scholar]
  2. James RH. 1000 anaesthetic incidents: experience to date. Anaesthesia. 2003; 58::856863.
    [Google Scholar]
  3. Nightingale F. Notes on Hospitals. 3rd ed. London; Langman: Roberts & Green 1863:p.89.
    [Google Scholar]
  4. Cooper JB, Cullen DJ, Nemeskal R, Hoaglin DC, Gevirtz CC, Csete M, Venable C. Effects of information feedback and pulse oximetry on the incidence of anaesthesia complications. Anesthesiology. 1987; 67:5:686694.
    [Google Scholar]
  5. Hines R, Barash PG, Watrous G, O'Connor T. Complications occurring in the post-anaesthesia care unit; a survey. Anesth Analg. 1992; 74::503509.
    [Google Scholar]
  6. Tarrac SE. A description of intraoperative and postanaesthesia complication rates. J Perianaesth Nurs. 2006; 21::8896.
    [Google Scholar]
  7. Kluger MT, Bullock MFM. Recovery room incidents: a review of 419 reports from the anaesthetic incident monitoring study (AIMS). Anaesthesia. 2002; 57:10601066.
    [Google Scholar]
  8. Backman SB, Bondy RM, Deschamps A, Moore A, Schricker T. Perioperative Considerations for Anaesthesia. American College of Surgery: Principles and Practices, Basic Surgical and Perioperative Consideration. BC Decker 2008.
    [Google Scholar]
  9. Mayson KV, Beestra JE, Choi PT. The incidence of postoperative complications in PACU. Can J Anesth. 2005; 52::462.
    [Google Scholar]
  10. Rose DK, Cohen MM, Wigglesworth DF, DeBoer DP. Critical respiratory events in the postanesthesia care unit. Patient, surgical, and anesthetic factors. Anesthesiology. 1994; 81::410418.
    [Google Scholar]
  11. Yip PC, Hannam JA, Cameron AJ, Campbell D. Incidence of residual neuromuscular blockade in a post-anaesthetic care unit. Anesth Intensive Care. 2010; 38:1:9195.
    [Google Scholar]
  12. Murphy GS, Szokol JW, Marymont JH, Greenberg SB, Avram MJ, Vender JS. Residual neuromuscular blockade and critical respiratory events in the postanaesthesia care unit. Anesth Analg. 2008; 107::130137.
    [Google Scholar]
  13. Rose DK, Cohen MM, DeBoer DP. Cardiovascular events in the postanaesthesia care unit: contribution of risk factors. Anesthesiology. 1996; 84::772781.
    [Google Scholar]
  14. Koivuranta M, Laara E, Snare L, Alahuhta S. A survey of postoperative nausea and vomiting. Anaesthesia. 1997; 52::443449.
    [Google Scholar]
  15. Macario A, Weinger M, Carney S, Kim A. Which clinical anaesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999; 89::652658.
    [Google Scholar]
  16. Apfel CC, Korttila K, Abdalla M, Kerger H, Turan A, Vedder I, Zernak C, Danner K, Jokela R, Pocock SJ, Trenkler S, Kredel M, Biedler A, Sessler DI, Roewer N, for the IMPACT Investigators . A factorial trial of six interventions for the prevention, of postoperative nausea and vomiting. N Eng J Med. 2004; 24::24412451.
    [Google Scholar]
  17. Watcha MF, White PF. Postoperative nausea and vomiting: its etiology, treatment, and prevention. Anesthesiology. 1992; 77::162184.
    [Google Scholar]
  18. White PF, Watcha MF. Postoperative nausea and vomiting: prophylaxis versus treatment. Anesth Analg. 1999; 89::13371339.
    [Google Scholar]
  19. American Society of Anesthesiologists Task Force on Postanesthetic Care. Practice guidelines for postanesthetic care: a report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2002; 96::742752.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): anaesthesia , complications , Post-anaesthesia Care Unit and postoperative
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