Outcomes after Anesthesia for Liver Surgery at Srinagarind Hospital in 2014
Keywords:
anesthesia,, hepatectomy,, patients’ outcomesAbstract
Background: Liver surgery is a complex and high-risk surgery. It requires an experienced anesthesia team with update and specific knowledge during anesthesia and surgery to meet the best patients’ outcomes.
Objectives: To study the outcomes of patients underwent liver surgery at Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand in 2014 as a means to improve the quality of patients’ anesthetic care.
Methods: A retrospective descriptive study in all patients with liver surgery at Srinagarind Hospital between January 1, 2014 and December 31, 2014.
Results: A total of 140 patients, 73.57% received general anesthesia combined with epidural anesthesia during surgery. The study showed the average amount of blood loss was 495.10 ± 428.10 ml, core temperature was 35.39 ± 0.61 oC, CVP was 9.2 ± 2.8 mmHg, systolic blood pressure was 103.83 ± 12.30 mmHg and urine output was 1.03 ± 0.89 ml/kg/hr. After surgery, 73.57% of patients received epidural analgesia for postoperative pain relief.
Conclusions: Patients underwent liver surgery received the appropriate standard of care. Excluding CVP control during surgery was higher than the recommendation (recommendation: not exceed than 5 mmHg). Also the average core temperature during surgery was lower than the standard (standard: not below 36 oC).
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