Mumtaz Ali Narejo, Ali Akbar, Muhammad Aslam Shaikh, Muhammad Munawar Ali, Safdar Hussain Arain, Khairunisa Shaikh

The Frequency and Characteristics of Postsurgical Problems in Individuals who had got Neurosurgical Operations

Mumtaz Ali Narejo, Ali Akbar, Muhammad Aslam Shaikh, Muhammad Munawar Ali, Safdar Hussain Arain, Khairunisa Shaikh



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ABSTRACT

Aim: The main aim of our current research was to assess occurrence and prevalence of postsurgical problems in individuals who had had neurosurgical operations.

Methods: From January 2020 to December 2021 a descriptive study is conducted at Neurosurgery department Chandka Medical College, Shaheed Mohtarma Benazir Bhutto Medical University Larkana, most patients remained monitored surgically in post anesthesia care unit or critical care unit for up to four hours. The investigators noted relevant problems and clinical records on a standardized form. Respiratory, cardiovascular, nausea and vomiting, hypothermia, and other problems have been identified. Age, gender, ASA status, kind of surgery, elective or emergency surgery, in addition postoperative placement were all examined as lifestyle factors for the incidence of problems.

Results: Six hundred patients treated studied monitored, although the trachea remained deeply sedated in 57 of them after the four-hour study period, hence they were eliminated from the postoperative effects assessment. At least one situation happened in 56.6 percent of the remaining 437 individuals. Respiratory issues occurred in 3.9 percent of cases, airway damage in 5.6 percent of cases, cardiovascular complications in 7.8 percent of cases, neurological abnormalities in 6.8 percent of cases, and nausea and/or vomiting in 39 percent of cases. The most patients had problems throughout spine (68%) and trauma (68%) surgery, comparing to tumor (48%) and other (47%) surgery, P 0.06. Other lifestyle factors for nausea and vomiting were being over 70 years old (P 0.01) and having elective spine also trauma surgery (P 0.002).

Conclusion: In patients presenting, here had been very significant rate of early postoperative problems. The most prevalent issue included nausea and vomiting, that was more prevalent among young patients receiving elective spine surgery.

Keywords: Occurrence and prevalence of postsurgical problems, neurosurgical operations



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