Retrospective Analysis of Anesthesia Methods in Orthopaedics and Traumatology Surgery

Abstract

Objective: In this study, the cases which were operated in our Orthopaedics and Traumatology clinic were retrospectively analyzed. However, we aimed to investigate retrospectively the effect of the anesthesia methods on perioperative mortality and morbidity. Method: In this study, age, gender, diagnosis, type of anesthesia, ASA clinical classification, intraoperative blood tranfusion requirement, type of surgery, emergency or elective, the presence of comorbid diseases, perioperative complications, postoperative transfer of the patients to the intensive care unit (ICU) requirement was analyzed in cases of orthopedics and traumatology surgery, between the dates of 2006-2012. Results: Between the dates of 2006-2012, 2814 patients had Orthopaedics and Traumatology surgery. Sixty two point one percent of these patients were male and 37,9% were female, 68,5% of the cases were operated with general anesthesia, 31,5% of the cases with regional anesthesia. After the surgery 97,4% of the patients were transferred to service, 2,6% were transferred to intensive care unit. The patients who received intensive care were 23,6% of ASA 1,14% ASA II, 62,5% ASA III. In 10% of all cases at least one complication was observed. The incidence of complications is, 10,3% in general anesthesia, 9,1% in regional anesthesia. In 12,4% of all patients blood transfusion was peiformed. Of the all cases, 182 patients had additional diseases, whereas 2632 patients had no additional disease. Postoperatively, 69% of patients with comorbid disease was transferred to service and 31% of them were transferred to the ICU. The most common complication during the operation was hypotension, latter was bradycardia. Conclusion: In orthopaedic and traumatology surgery, regional anesthesia techiques may decrease the risk of perioperative complications but the medical risk factors of patients must be the basic predictor for the decision making of the anesthesia techniques. In the complex surgery of the patients with high ASA class or with accompanying diseases, anesthesia decisions should be made keeping in mind that there may be a need for blood transfusion. Postoperative follow up of the intensive care should definitely be evaluated as well.