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Outside Operating Room Management: Five Years Experiences

Year 2014, Volume: 4 Issue: 3, 133 - 137, 18.01.2015
https://doi.org/10.16899/ctd.45910

Abstract

Aim: In this study, it was aimed to perform a retrospective analysis of anesthetic care  procedures performed in nonoperating room between 2005 and 2010.

Materials and methods: Data were obtained from anesthesia record forms at OMU hospital between 2005 and 2010. Patient’s data including, American Society of Anesthesiologists (ASA) score, age, gender, vital signs, drugs, complications, and the need of close monitoring in intensive care units were recorded

Results: In our practice, we mostly performed anesthesia/sedation in ASA II patients, propofol was the most commonly used drug. In adults most common procedures were invitro fertilization (%23,8), in pediatric patients most common procedures were interventional cardiology procedures, which performed  outside the operating room. Bradicardia was the most commonly (%1,1) complication.

 

References

  • Kotob F, Twersky RS. Anesthesia outside the operating room: general overview and monitoring standards. Int Anesthesiol Clin. 2003;41: 1-15.
  • Bonnet F, Marret E. Anaesthesia outside the operating room: conflicting strategies? Curr Opin Anaesthesiol. 2008; 21: 478-479.
  • Velde MV., Roofthooft E., Kuypers M. Risk and safety of anesthesia outside the operating room. Curr Opin Anaesthesiol. 2008; 21: 486-487.
  • Evron S., Ezri T. Organizational prerequisites for anesthesia outside the operating room. Curr Opin Anaesthesiol. 2008; 22: 514-518.
  • Eichhorn V, Henzler D, Murphy MF. Standardizing care and monitoring for anesthesia or procedural sedation delivered outside the operating room. Curr Opin Anaesthesiol. 2010 ; 23: 494-499.
  • Metzner J., Posner K L.,Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anesthesiol 2009; 22: 502-508
  • Soto RG, Fu ES, Vila H Jr, Miguel RV. Capnography accurately detects apnea during monitored anesthesia care. Anesth Analg. 2004; 99: 379-382
  • Vargo JJ, Zuccaro G Jr, Dumot JA, Conwell DL, Morrow JB, Shay SS. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc. 2002; 55: 826-831.
  • Türk Anesteziyoloji ve Reanimasyon Derneği Anestezi Uygulama Kılavuzları: Ameliyathane Dışı Anestezi Uygulamaları 2005
  • Robbertze R, Posner KL, Domino KB. Closed claims review of anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol. 2006; 19: 436-442.
  • Melloni C. Morbidity and mortality related to anesthesia outside the operating room. Minerva Anestesiol. 2005; 71: 325-334.
  • Missant C, Van de Velde M. Morbidity and mortality related to anaesthesia outside the operating room. Curr Opin Anaesthesiol. 2004;17: 323-327.
  • Cravero JP. Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol. 2009; 22: 509-513.
  • Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog JH; Pediatric Sedation Research Consortium.The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Anesth Analg. 2009; 108: 795-804.
  • Coté GA, Hovis RM, Ansstas MA, et al. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol. 2010 ; 8: 137-142.

Ameliyathane Dışı Anestezi Uygulamaları: Beş Yıllık Deneyimlerimiz

Year 2014, Volume: 4 Issue: 3, 133 - 137, 18.01.2015
https://doi.org/10.16899/ctd.45910

Abstract

 Amaç: Çalışmamızda 2005-2010 yılları arasındaki ameliyathane dışı anestezi uygulamalarımızın reteospektif analizi amaçlandı.

Materyal Metod: Ondokuz Mayıs Üniversitesi Tıp Fakültesi Hastanesi 2005-2010 tarihleri arasındaki ameliyathane dışı anestezi kayıtları tarandı. Hastaların Amerikan Anestezi Derneği sınıflamasına göre fizyolojik durum (ASA) skoru, cinsiyet, yaş bilgileri, işlem sırasında kullanılan ilaçlar, vital bulguları, komplikasyon varlığı ve işlem sonu yoğun bakım gerekliliği kaydedildi.  

Sonuç: Ameliyathane dışı anestezi (ADA) uygulamalarımızda en çok ASA II hasta grubuna anestezi/sedasyon verilmiştir, propofol sıklıkla (%62,9) tercih edilen ilaçdır, erişkinde; invitro fertilizasyon (%23,8), çocuklarda; girişimsel kardiyoloji (%37,3) ameliyathane dışında en sık anestezi/sedasyon uygulanan işlemlerdir.   En sık  komplikasyon bradikardidir (%1,1).

Anahtar kelimeler: Retrospektif çalışma, anestezi, sedasyon, ambulatuar cerrahi girişimler

References

  • Kotob F, Twersky RS. Anesthesia outside the operating room: general overview and monitoring standards. Int Anesthesiol Clin. 2003;41: 1-15.
  • Bonnet F, Marret E. Anaesthesia outside the operating room: conflicting strategies? Curr Opin Anaesthesiol. 2008; 21: 478-479.
  • Velde MV., Roofthooft E., Kuypers M. Risk and safety of anesthesia outside the operating room. Curr Opin Anaesthesiol. 2008; 21: 486-487.
  • Evron S., Ezri T. Organizational prerequisites for anesthesia outside the operating room. Curr Opin Anaesthesiol. 2008; 22: 514-518.
  • Eichhorn V, Henzler D, Murphy MF. Standardizing care and monitoring for anesthesia or procedural sedation delivered outside the operating room. Curr Opin Anaesthesiol. 2010 ; 23: 494-499.
  • Metzner J., Posner K L.,Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anesthesiol 2009; 22: 502-508
  • Soto RG, Fu ES, Vila H Jr, Miguel RV. Capnography accurately detects apnea during monitored anesthesia care. Anesth Analg. 2004; 99: 379-382
  • Vargo JJ, Zuccaro G Jr, Dumot JA, Conwell DL, Morrow JB, Shay SS. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc. 2002; 55: 826-831.
  • Türk Anesteziyoloji ve Reanimasyon Derneği Anestezi Uygulama Kılavuzları: Ameliyathane Dışı Anestezi Uygulamaları 2005
  • Robbertze R, Posner KL, Domino KB. Closed claims review of anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol. 2006; 19: 436-442.
  • Melloni C. Morbidity and mortality related to anesthesia outside the operating room. Minerva Anestesiol. 2005; 71: 325-334.
  • Missant C, Van de Velde M. Morbidity and mortality related to anaesthesia outside the operating room. Curr Opin Anaesthesiol. 2004;17: 323-327.
  • Cravero JP. Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol. 2009; 22: 509-513.
  • Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog JH; Pediatric Sedation Research Consortium.The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Anesth Analg. 2009; 108: 795-804.
  • Coté GA, Hovis RM, Ansstas MA, et al. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol. 2010 ; 8: 137-142.
There are 15 citations in total.

Details

Primary Language English
Journal Section Original Research
Authors

Yasemin Üstün

Cengiz Kaya This is me

Ersin Köksal This is me

Fatih Özkan This is me

Binnur Sarıhasan This is me

Yusuf Yıldırım This is me

Ender Çam This is me

Publication Date January 18, 2015
Published in Issue Year 2014 Volume: 4 Issue: 3

Cite

APA Üstün, Y., Kaya, C., Köksal, E., Özkan, F., et al. (2015). Outside Operating Room Management: Five Years Experiences. Çağdaş Tıp Dergisi, 4(3), 133-137. https://doi.org/10.16899/ctd.45910
AMA Üstün Y, Kaya C, Köksal E, Özkan F, Sarıhasan B, Yıldırım Y, Çam E. Outside Operating Room Management: Five Years Experiences. J Contemp Med. January 2015;4(3):133-137. doi:10.16899/ctd.45910
Chicago Üstün, Yasemin, Cengiz Kaya, Ersin Köksal, Fatih Özkan, Binnur Sarıhasan, Yusuf Yıldırım, and Ender Çam. “Outside Operating Room Management: Five Years Experiences”. Çağdaş Tıp Dergisi 4, no. 3 (January 2015): 133-37. https://doi.org/10.16899/ctd.45910.
EndNote Üstün Y, Kaya C, Köksal E, Özkan F, Sarıhasan B, Yıldırım Y, Çam E (January 1, 2015) Outside Operating Room Management: Five Years Experiences. Çağdaş Tıp Dergisi 4 3 133–137.
IEEE Y. Üstün, C. Kaya, E. Köksal, F. Özkan, B. Sarıhasan, Y. Yıldırım, and E. Çam, “Outside Operating Room Management: Five Years Experiences”, J Contemp Med, vol. 4, no. 3, pp. 133–137, 2015, doi: 10.16899/ctd.45910.
ISNAD Üstün, Yasemin et al. “Outside Operating Room Management: Five Years Experiences”. Çağdaş Tıp Dergisi 4/3 (January 2015), 133-137. https://doi.org/10.16899/ctd.45910.
JAMA Üstün Y, Kaya C, Köksal E, Özkan F, Sarıhasan B, Yıldırım Y, Çam E. Outside Operating Room Management: Five Years Experiences. J Contemp Med. 2015;4:133–137.
MLA Üstün, Yasemin et al. “Outside Operating Room Management: Five Years Experiences”. Çağdaş Tıp Dergisi, vol. 4, no. 3, 2015, pp. 133-7, doi:10.16899/ctd.45910.
Vancouver Üstün Y, Kaya C, Köksal E, Özkan F, Sarıhasan B, Yıldırım Y, Çam E. Outside Operating Room Management: Five Years Experiences. J Contemp Med. 2015;4(3):133-7.