Complications in the post-anaesthesia recovery room
A prospective survey was conducted over a threemonths period in all post-surgical patients entering the post-anaesthesia recovery room ( PARR ) at a university teaching hospital, while excluding those patients who had local anaesthesia or those who bypassed the recovery room to be transferred d...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
1995
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| Subjects: | |
| Online Access: | http://eprints.usm.my/57001/1/TE...Dr%20Wan%20Azzlan%20B.%20Wan%20Ismail...1995...mka..%20-%20e%2024.pdf |
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| Summary: | A prospective survey was conducted over a threemonths
period in all post-surgical patients entering the
post-anaesthesia recovery room ( PARR ) at a university
teaching hospital, while excluding those patients who had
local anaesthesia or those who bypassed the recovery room
to be transferred directly to the intensive care unit
{ ICU ). To identify and quantitate complications
occuring in the PARR, a standardized collection form
with predefined criteria was used. A total of 1304
patients were presented to the recovery room. The
majority of them underwent general anaesthesia ( 85.28% ).
In 110 ( 8.43% ) of the patients, some form of PARR
complications were noted. With respect to type of
anaesthesia, the PARR complications within groups of
patients receiving general anaesthesia ( GA ) only, GA
combined with central blockade and regional anaesthesia only
were 8.36%, 10.0% and 7.84% respectively. Quite surprisingly,
11.1% of elective and only 6% of emergency patients had PARR
complications. ASA physical status appeared to be an
important factor in determining the incidence of overall
PARR complications, with higher ASA status showing more
complications. Patients who had anaesthesia less than 2 hours presented with the least incidence of 6.76% whereas
those who underwent anaesthesia more than 5 hours had
over 40% complication rate. Even though there were higher
incidence of PARR complications amongst the orthopaedic,
obstetric, gynaecological and abdominal procedure patients
corresponding to the number of cases done, urologic patients
developed the highest incidence of adverse outcome among
themselves ( 25.58% ). There was no complication noted in
the neurosurgical patients as those with high ASA status
were directly admitted to ICU. out of the PARR complications
observed, 3.91% were referable to the central nervous system,
3.07% to gastrointestinal tract, 2.61% to cardiovascular
system, a mere 0.31% to respiratory system and 1.3% to
others. Pain ( 2.99% ), nausea and vomiting ( 2.45% ), and
tachycardia ( 1.38% } were the most frequently encountered
PARR complications. The more dangerous complications such
as hypotension, hypertension, myocardial ischaemia and
respiratory compromise do
This is most likely due to
still occur, but at a lower rate.
different anaesthetic practice,
reporting criteria and patient population. In conclusion,
the immediate post-anaesthesia period in the recovery room
remain as a time of great potential danger to patients
emerging from anaesthesia and a source of patient morbidity. |
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