The Anesthetic Management of Emergency General Surgery Cases: A Retrospective Analysis

Abstract

The aim of the study is to evaluate retrospectively the anesthesia techniques chosen for the patients in the department of general surgery who had undergone emergency surgery within the last five years. Anesthesia records for the patients in the General Surgery department had undergone emergency surgical operation between January 2011 and December 2015, in the Faculty of Medicine of Ondokuz Mayıs University have been evaluated retrospectively. The data of 762 patients were screened thoroughly. Mean age of the patients was 55 years. General anesthesia was performed on 712 (93.4%) patients. Difficult endotracheal intubation was encountered in 5 (0.7%) patients. As an induction agent, propofol as an anesthesia maintenance agent sevofluran or desfluran, as a muscle relaxant agent rocuronium and as an intra-operative analgesic agent remifentanil were chosen. Neostigmine+atropine combination (60.4%) was chosen as a recovery agent. During postoperative period, opioid agents were used for analgesic purposes. In our operation theatre, in consideration of the patients who undergone emergency surgical operation in the last five years, it was clear that general anesthesia was performed on most of the patients. Propofol as an induction agent, rocuronium as muscle relaxant agent were chosen. Inhalation agents and opioids were given to the patients in order to maintain anesthesia. Acetylcholine esterase inhibitors were used as recovery agents. At our hospital, as for postoperative analgesia method, a protocol in which multi-model approach was taken into account was aimed at. © 2018, Logos Medical Publishing. All rights reserved.