TY  - BOOK
AU  - Fatma Abdalla Said
AU  - Benard Kenemo
AU  - Buname Gustave
TI  - Patterns of Immediate Post-Anesthetic Complications and their Associated Factors among Adult Patients in the Operating Theatre Recovery Room Following Major Surgery at Bugando Medical Centre Mwanza Tanzania
PY  - 2019///
CY  - Mwanza, Tanzania
PB  -   Catholic University of Health and Allied Sciences [CUHAS – Bugando]
KW  -  
N2  - Abstract:

Background: The subject of post-anesthetic complication in the recovery room and its prevention has continued to generate interest in the last decade. Unfortunately, there is a paucity of published data regarding this subject in Tanzania and Bugando Medical Centre (BMC) in particular. This study was designed to describe the patterns of immediate post-anesthetic complications and associated factors among patients admitted in the operating theatre recovery room following all surgeries at Bugando Medical Centre.

Methods: This was a cross sectional study of patients aged 18 years and above admitted in the operating theatre recovery room following major surgery at BMC from March 2019 to June 2019. Patients were followed up post-operatively till complete recovery to determine the patterns of immediate post-anesthetic complications and their associated factors. Data were analyzed using STATA.

Results: A total of 430 patients (M:F ratio = 1:1.7) were studied. The median age at presentation was 35 years. Of all patients, 294(68.4%) developed immediate post- anesthetic complications. Of these, postoperative nausea and vomiting were the most common post-anesthetic complication accounting for 43.5% of cases followed by pain 19.5%. ASA II (OR 2.1; 95% CI [1.1-3.7]; p-value = 0.017), type of anesthesia (OR 0.3; 95% CI [0.1-0.6]; p-value = 0.017) and surgical procedure performed (Laparotomy) (OR 37.1; 95% CI [1.6-841.2]; p-value= 0.023) were found to be statistically significantly associated with post-anesthetic complications on multivariate logistic regression analysis.

Conclusion: This study has demonstrated that the incidence of immediate post-anesthetic complications among patients admitted in the operating theatre recovery room of Bugando Medical Centre high despite recent advances in anesthetic techniques and the introduction of newer anesthetic drugs. ASA II and general anesthesia are associated with post-anesthetic complications. We recommend that factors responsible for increased incidence of immediate post-anesthetic complications at Bugando Medical Centre should be addressed so as to reduce the occurrence of these complications

ER  -