Inventi Rapid: Anaesthesiology

Inventi:hraa/25986/21

A Study on Utilization Pattern of Preanaesthetic and Anaesthetic Medications in Surgical Procedures

Anesthetics are used during tests and surgical operations to induce sleep, reduce pain and discomfort while preanaesthetics are used before anaesthesia to make it more pleasant and safe. Objectives of this study were to study the type of anesthetics administered in surgical procedures, preanesthetic medications and post operative complications. A six month prospective observational study was carried out in the Anesthesiology Department of Basaveshwara Medical College Hospital and Research Centre, Chitradurga. The study was initiated after receiving approval from the Institutional Ethics Committee. Details of patients who had undergone an operation involving an anesthetic were documented in a suitably designed documentation form after receiving the informed consent form. The results were analyzed using descriptive statistics. A total of 120 cases were studied. 93(77.50%) cases were regional (spinal) anaesthesia, 13(10.83%) were general anaesthesia, 9(7.50%) were local anaesthesia and 5(4.17%) were sedation. Among the general anaesthetics, propofol (P), ketamine (K), pentazocine (Z), midazolam (M), fentanyl (F), isoflurane (I), nitrous oxide (N) were used in 17(33.33%), 8(15.69%), 6(11.76%), 6(11.76%, 6(11.76%), 6(11.76%) and 2(3.92%) cases respectively. Among local anaesthetics, bupivacaine and lignocaine were used in 93(77.50%) and 9(7.50%) cases respectively. Preanaesthetics given include 53(44.16%) cases of antianxiety/sedative drugs, 8(6.67%) of analgesics, 17(14.17%) of anticholinergics, 91(75.83%) of gastric suppressant drugs and 32(22.50%) of antiemetics. Postoperative complications were found in 18(15%) cases. Among them, 6(5%) had post operative nausea and vomiting, 4(3.33%) had post operative fever, 4(3.33%) had hypertension, 3(2.50%) had spinal headache and 1(0.83%) had hypotension. A customized protocol, consensus guideline, a checklist for premedication can be taken into consideration to standardize procedures since it is always better to have one’s own than being adopted....