Evaluation of cardiac patients with non-cardiac surgery

Increased life time and risk factors of the modern life style cause more cardiac patients in society. This condition reflects to hospilats as more risky patients needing noncardiac surgical procedures. By assessing these risk factors, we can treat these patients and also take needed measures before operations. Patients undergoing non-kardiac surgery and anesthesia in outpatient clinic were recruited between 1 August - 1 November 2011. Anesthesia form undergoing non-cardiac surgery evalution filled in 1113 patients. 872 of there patients were included in one operation. Patients age, gender, the risk of surgial invention, active cardiac symptoms, unstable situations, functional capacity, cardiac risk assessment, risk assessment index, current treatments and recommended treatments, invasive monitoring during the operation, the method of anesthesia, intraoperative recommendations prospectively evaluated in terms of the recommmendation. Segmental distribution of 872 surgical in our study; General Surgery 335 (20.5%), Ear, Nose and Throat Surgery 180 (20.5%), Gynecology and Obstetrics 183 (20.9%), Urology 117 (14.3%), Thorasic Surgery 56 (6.4%). Active during the preoperative evaluaion of cardiac symptoms (known to have heart disease, exertional dyspnea during the application process, palpitations, chest pain) and by clinical risk factors were consulted by The Department of Cardiology, the recommendations were taken into consideration. Request of The Depertment of Cardiology consultation rate is 10.7% of our patients. This increases with age. In patients > 60 years the prevalence is a high as 55.6%. 131 (85.6%) of 153 patients were evaluated according to risk index of Erasmus. 20 patients (14.4 %) were evaluated risk index according to Goldman. The most common drug used by patients antihypertensive medications. 61 (53.3%) patients use antihypertensive. The maximum recommended therapeutic treatment of ß-blockers. 16 (35.6%) patients were recommended ß-blockers Study all the proposals conform to the required intraoperatively and made all necessary prepations. Intraoperative period, 3 (34.4%) patients after induction of hypotension and 2 (22.9%) patients arrhythmias were observed. All of these patients who had undergone cardiac reviews. 5 patients Anesthesiology and Intensive Care Unit Department of Akdeniz University were treated with routine treatment protocols. Working with the anesthesia preoperative evaluation of patients undergoing noncardiac surgery were made. Data from the study protocol and were evaluated in the preoperative assessment methods can be applied to The Akdeniz University Clinic Anesthesiology and Intensive Care Unit was observed. The number of intraoperative complications have less and can be treated, preoperative evaluation of patients undergoing surgery has been enabled. Clinical protocol of the The Department of Anesthesiology and Intensive Care Unit Akdeniz University can help build.