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Volume 2023, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Background: Postoperative pulmonary complications (PPC) include any complication that affects the respiratory system after anesthesia and surgery and are a significant cause of postoperative mortality and morbidity.

Objectives: To describe the risk factors for immediate postoperative pulmonary complications after appendectomy under general anesthesia and to determine if rapid sequence induction decreases the risk.

Design and Setting: A retrospective analysis of perioperative medical records of patients who underwent appendectomy under general anesthesia over a year, from January 1st, 2014, to December 31st, 2014, at Hamad General Hospital, Doha, Qatar, was done.

Results: Of the 1005 patients who met the inclusion criteria, 27 (3.7%) had PPC. The incidence of PPC had a significant positive association with diabetes mellitus (DM), bronchial asthma (BA), number of intubation attempts, laparoscopic approach, and longer surgeries (>2 h). Hypertension, recent or ongoing upper respiratory tract infections, and smoking were not associated with an increased risk of PPC. Non-rapid sequence intubation (RSI) was not associated with an increased risk of PPC compared with RSI.

Conclusions: The incidence of immediate PPC in ASA 1 and 2 appendectomy patients aged between 15 and 50 is significant. There is an increased risk among asthmatics, diabetics, and those with difficult airways. The RSI technique does not offer protection.

© 2023 Kumar, Ayasa, Krishnadas, Chandra, Al-Mustafa, Praveen, Sinha, Sasi, licensee HBKU Press.
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2023-09-14
2025-01-24
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/content/journals/10.5339/qmj.2023.20
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Factors associated with immediate postoperative pulmonary complications after Appendectomies under general anesthesia: A retrospective analysis
Qatar Medical Journal 2023, 20 (2023); https://doi.org/10.5339/qmj.2023.20
/content/journals/10.5339/qmj.2023.20
/content/journals/10.5339/qmj.2023.20
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  • Article Type: Research Article
Keyword(s): Appendectomy, Appendicitis, Complications, General Anesthesia and Post-operative

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