Effect of complications related to spinal anaesthesia on the duration of the postoperative hospitalization period

SUMMARY Effect of Complications Related to Spinal Anaesthesia on the Duration of the Postoperative Hospitalization Period. In our study, we searched the effect of complications related to spinal anaesthesia on the duration of the postoperative hospitalization period in patients who had undergone operations with spinal anaesthesia. This study was performed on patients willing to participate in the study, and who were planned to undergo elective surgeries. A total of 1 13 patients (88 cases in the group with complications, and 25 cases in the group without complications) were included of whom ASA scores were in groups I, II, III and IV, ages between 18 and 82, heights between 150- 1 87 cm, weights between 50- 1 10 kg. Isolyte S infusion was administered to the patients in a dose of 10 ml/kg in the preoperative period. Midazolam 0.1 mg/kg was applied for premedication purposes by titration method. All the lumbar punctures were carried out in aseptic conditions in lateral and sitting positions from LI- 2, L2- 3 or L3- 4 intervertebral spaces in the midline. Lumbar punctures were performed by using 20 G, 22 or 26 G Quincke spinal injectors and average 14.63 mg hyper baric bupivakain %0.5 (Marcaine Heavy; 5 mg/ml) was injected to the subarachnoid space with puncture needles and then the patient was given a position suitable for the operation. Following the subarachnoid administration of the drugs, hemodynamic parameters (SABP, DABP, HR, SpCh) were measured every five minutes starting from the drug administration till the completion of the operation. A 25% decrease in the systolic blood pressures of the patient according to the basal levels were accepted as hypotension. In such cases, intravenous infusion was accelerated and if not recovered, IV ephedrine (5- 10 mg) was given and solutions containing colloids were used. Fluid and blood requirements of the patients were calculated during the surgical operations. Patients with bradycardia were treated with atropine, and nausea with metochloropramide.Complications like nausea, vomiting, postspinal headache, globe, hypotension, bradycardia and fever were evaluated at the preoperative and 0th, 4th, 6th, 8th, 24th, 48th and 72th hours of the postoperative period and recorded. Headache of all the group was evaluated according to "visual analogue scale". 1) When the hospitalization periods of the patients with and without complication (22.1% patients (n= 25) without complication, and 77.9% patients (n= 88) with complication) were compared, no statistically significant differences were seen between the two groups (P>0.05). 2) When the frequency of the complications in patients in postoperative period, it was seen that:. There was nausea in the first place: 38.5% (n= 43). Hypothermia was in the second place: 3 1.8% (n=36). Headache was in the third place: 27.3% (n=3 1 ). Globe was in the fourth place: 23% (n=27). Hypotension was in the fifth place: 15.0% (n=17). Bradycardia was in the sixth place 12.3% (n=14). Vomiting was in the seventh place: 7.9% (n= 9) 3) In the postoperative period;. Only one complication was seen with a ratio of 37.0% (n= 35). Two different complications were seen with a ratio of 26.5% (n= 30). Three different complications were seen with a ratio of 10.6% (n=12). Four different complications were seen with a ratio of 7. 1% (n= 8). Five different complications were seen with a ratio of 1.8% (n= 2). Six different complications were seen with a ratio of 0.9% (n= 1) No statistically significant difference was observed between the average hospitalization periods of the patients that did not suffer any complications and patjents who suffered one, two, three, four, five and six complications respectively (P>0.05).As a result, it was concluded that spinal anaesthesia is an anaesthesia method of choice, complications related to spinal anaesthesia do not prolong the hospitalization period when proper measures are taken. Key words: hospitalization period, complications, postoperative, spinal anaesthesia si eg 5| Sd