A review of anaesthesia for orthopaedic surgery in the University Teaching Hospital, Ilorin, Nigeria.
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Date
2005
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Library and Publications Committee, University of Ilorin, Ilorin,
Abstract
A retrospective study was made on all patients who had orthopaedic surgical procedures between March 2001 and February 2002 at the University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria. The aim of this study was to review the various anaesthetic techniques offered to orthopaedic patients, the procedures done, perioperative adverse events and to suggest areas of improvement. Data were obtained from anaesthetic record charts, case files, theatre, recovery room, intensive care unit records and the Department of Health Records of UITH. Statistical analysis was carried out using the Chi square test. A p value of less than 0.05 was considered significant. The results showed that a total of 178 patients had 203 orthopaedic surgical procedures within the study period. There were 121 (68%) males and 57 (32%) females. Intercurrent medical illness was found in 11.8% of the patients. The most commonly performed orthopaedic surgical procedure was open reduction and internal fixation (30%), followed by sequestrectomy (12.3%). General anaesthesia was the most commonly performed technique (69.7%), followed by subarachnoid block (21.3%). Perioperative adverse events occurred in 16.9% of the patients, shivering occurring in 30%, hypotension in 23.4% and hypertension in 16.7% of those who had adverse events. There was no significant association between American Society of Anesthesiologists' (ASA) grading and occurrence of perioperative adverse events. Availability of appropriate anaesthetic drugs of choice and reduction in homologous blood use are advocated.
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Keywords
orthopaedic surgery,, anaesthetic techniques,, adverse events