Retrospective Assesing of Spinal Anesthesia Applications in our Hospital

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Aim: To scan retrospective findings in patients undergoing spinal anesthesia and putting forth the reasons for complications. Materials and Methods: We recruited patients have had surgery with spinal anesthesia, in ASA I, II, III groups between the ages of 16 and 91, 365 male and 247 female, retrospectively. During the application 22, 25,26 gauge spinal needle, bupivacaine and levobupivacaine was used. Standart monitorization was performed to all patients and sistolic, diastolic and mean arteryal pressure; heart rate, peripheral oxygen saturation were recorded by deterimined intervals. The data of the patients were collected from patients file, from forms of anesthesia monitoring. Complications related to spinal anesthesia, and the positive and negative factors that may influence it were assessed with T-test, Chi-Square, spearman’s correlation tests. Results: Complications was not associated with the use of fentanyl, sex, height, weight, age, ASA, local anesthetics, and surgical clinics. Systolic and diastolic blood pressure and heart rate showed a significant reduction in rates after application. No significant correlation between needle diameter, 35-45 age group, anal fissure surgery, ankle surgery and the complications was found (p 0,05). No evidence of complications increased with the growth of the diameter of the needle was reached except bradycardia. Anesthesia had significantly lower satisfaction for patients who develop complications. Conclusion: The development of complications was associated with young-middle age group, and selection of the spinal needle. It was concluded that detailed preparation of uniform and carefully filled patient monitoring forms seems essential.

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Spinal anesthesia , complications , retrospective evaluatio

Kocatepe Medical Journal

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Kocatepe Medical Journal