Akademik Veri Yönetim Sistemi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.34, sa.3, ss.169-176, 2006 (Scopus)
Aim: In recent years the rate of outpatient surgery increased by the development of technology and surgical methods. These developments leaded the anesthesia teams to involve for procedures performed in locations outside the operating room. Remote location anesthesia care has some risks like; being far away from the operating rooms, inadequate anesthetic equipment and outlying distance of anesthetists from the patients. The aim of this study was to present the demographic data of the patients, anesthesia techniques, and complications of our remote location anesthesia care practice. Materials and Methods: In this study 1.622 cases, that received anesthesia outside the operating room between January 2004 and April 2005 were assessed retrospectively. The ASA classification, distribution of age, anest technique, sedative agents, minor and major complications were analyzed. Results: Sedation was given to 1.526, regional anesthesia to 60 and general anesthesia to 36 patients. 972 of the patients were at pediatric age (0-18), 650 were adults (18-105). Average age of the patients was 30.72±0, 69 (0-105). Approximately 12 cases received anesthesia care everyday. Severe complications occurred in 6 of 1622 cases. These were cardiac arrest during MRI, intracranial hemorrhage of cerebral arteries during artificial embolization, breaking of puncture needle during bone-marrow biopsy and arterial perforation during hydatid cyst aspiration. Conclusion: Anesthesia performed in locations outside the operating room involves different diagnostic, interventional or surgical procedures in a wide range of age spectrum. Complications can be reduced by appropriate technical equipment, suitable monitoring and experienced anesthesiologists.