Krisnan, Devanandhini
(2006)
Anaesthetic complications of limb salvage surgeries : a 4 year retrospective study.
Masters thesis, Universiti Sains Malaysia.
Abstract
Objectives:
Our purpose was to study the incidence of perioperative anaesthetic
complications and morbidity following limb salvage surgeries as well as to
determine the extent of contribution of preoperative status and duration of
surgery towards incidences of these perioperative complications. Apart
from that we aimed to study the extent and quality of postoperative care
in limb salvage surgeries
Study Design :
The medical records of 120 patients who underwent limb salvage surgery
were traced and studied for incidences of perioperative anaesthetic
complications in 4 categories : hematological1 , temperature, cardiovascular
and pulmonary. Necessary information were tabulated into individual data
collection sheets (Appendix A).
Results:
There were no significant findings in the demographic data. Intraoperative
hypothermia appeared to be the only significant perioperative anaesthetic
complication. We were able to demonstrate a significant relationship
between the duration of surgery I anaesthesia and the development of
intraoperative hypothermia. Almost ~alf the patients were ventilated
postoperatively whereby majority of care was instituted in the intensive care
unit.
Conclusion :
Intraoperative hypothermia is an proven perioperative anaesthetic
complication of limb salvage surgery. Incidences of hypothermia in limb
salvage surgery are directly proportional to the duration of surgery and
anaesthesia. Ventilation in the intensive care unit appears to be the most
common postoperative care.
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