Postoperative complaints after spinal and thiopentone-isoflurane anaesthesia in patients undergoing orthopaedic surgery Spinal versus general anaesthesia

1996 ◽  
Vol 40 (2) ◽  
pp. 222-226 ◽  
Author(s):  
T. Standl ◽  
S. Eckert ◽  
J. Schulte AM Esch
Keyword(s):  
General Anaesthesia ◽  
Orthopaedic Surgery ◽  
Isoflurane Anaesthesia ◽  
Postoperative Complaints

scholarly journals Association Between Bispectral Index (BIS) Value and Postoperative Shivering in Patients Undergoing Orthopedic Surgery

2019 ◽  
Vol 7 (7) ◽  
pp. 1166-1169
Author(s):  
Manijeh Yousefi Moghadam ◽  
Mohammad Nemat-Shahi ◽  
Bardia Dowlat-Abadi ◽  
Seyed Ehsan Safari ◽  
Saeed Yajan
Keyword(s):  
General Anaesthesia ◽  
Bispectral Index ◽  
Orthopaedic Surgery ◽  
Linear Regression Analysis ◽  
Positive Association ◽  
Multivariate Linear Regression Analysis ◽  
Depth Of Anaesthesia ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Distribution Width

BACKGROUND: Postoperative shivering is one of the most common adverse effects after general anaesthesia. AIM: This study aimed to evaluate the association between the Bispectral index (BIS) monitoring value and postoperative shivering in patients undergoing orthopaedic surgery. MATERIAL AND METHODS: This cross-sectional study was conducted in Shahid Beheshti Hospital in Sabzevar city, from August 2017 to September 2018. Patients who underwent orthopaedic surgery, using general anaesthesia, were enrolled. Recording of the depth of anaesthesia using BIS monitoring was started exactly 5 minutes after intubating the patient and continued until the discharge from post-anesthesia care unit (PACU). The incidence of postoperative shivering was evaluated using a scale proposed by Crossley and Mahajan. RESULTS: A total number of 80 patients were evaluated. 32.5% of patients experience postoperative shivering grade 2, with mean BIS score 41.85. The univariate and multivariate linear regression analysis indicated a statistically significant relationship between shivering score and patients' heart rate, blood pressure, BIS score, temperature, age, height, gender and blood cell distribution width (RDW) (p < 0.05). CONCLUSION: The results of this study indicate a significant positive association between BIS value and postoperative shivering in patients undergoing orthopaedic surgery, so that, patients with higher BIS score experienced significantly more postoperative shivering. It seems that BIS-guided anaesthesia can reduce the risk and incidence of postoperative shivering in patients undergoing orthopaedic surgery.

Web-based quality questionnaire follow-up 30 days after an elective office-based orthopaedic surgery in general anaesthesia

2009 ◽  
Vol 53 (5) ◽  
pp. 686-687
Author(s):  
M. Brattwall ◽  
K. Natorst-Böös ◽  
I. Ekeman ◽  
I. Turan ◽  
J. Jakobsson
Keyword(s):  
General Anaesthesia ◽  
Orthopaedic Surgery ◽  
Web Based ◽  
Elective Office

scholarly journals Post-Operative Restlessness During Recovery Period Following General Anaesthesia

KYAMC Journal ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 645-648
Author(s):  
Md Rashid Ali ◽  
Shamim Adam ◽  
KR Khan ◽  
Zahir Al Imran
Keyword(s):  
General Anaesthesia ◽  
Orthopaedic Surgery ◽  
Recovery Period ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Medical College ◽  
Key Word ◽  
Different Types ◽  
North Bengal

Background: Smooth induction and smooth maintenance, smooth reversal and quite recovery is a key word in general anaesthesia. All anaesthetist desires that his patients wake-up smoothly & quietly. However the matter is not easy at all. Anaesthetist often faces a bitter experiences & awk.ward situation during recovery from anaesthesia. Objective: To detect the degree & frequency of restlessness in various types of patients of different age & sex groups and in different types of operations.Methodology & Materials : Our study was carried out in North Bengal Medical College Hospital, Sirajgonj, in between July/2014 & December/2014. 60 (sixty) patients were chosen of different age & sex group and of different types of operation for this perpous.Results: Our study shows that the patients of E.N.T. surgery & the patients of Paediatric surgery, were most vulnerable & responded badly, during reversal and in the post operative ward. Among others a few of them developed restlessness due to some other cause. The children were more prone to develop restlessness than the adults. The Orthopaedic surgery patients also responded badly during recovery period.Conclusion: Special attention should given to this matter as it is really a hazardous situation to all; (i.e. anaesthetist, surgeon, O.T. Sister). An adequate pre-medication,smooth induction, quiet maintenance, smooth reversal & a suitable post operative analgesic is absolutely necessary. Pre anesthetic visit & close rapport with the patient is also essential to overcome this situation.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 645-648

The Relevance of Regional Anesthesia in Orthopaedic Surgery: Concepts and techniques.

2019 ◽  
Vol 5 (4) ◽  
pp. 160-163
Author(s):  
Dike Obalum ◽  
Sydney Ibeanusi
Keyword(s):  
Adverse Effects ◽  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Severe Pain ◽  
Orthopaedic Surgery ◽  
Peripheral Nerve Block ◽  
Post Operative Pain ◽  
Close Supervision ◽  
Life Threatening ◽  
Sizable Proportion

Before the advent of anaesthesia in surgical practice, surgeons battled with patient’s maximal co-operation during surgical procedures, management of pain intra-operatively and post-operatively. Anaesthesia has greatly aided in overcoming these challenges, but a sizable proportion of reduction in these challenges but approximately 30-80% of patients complain of moderate to severe pain post-operatively indicating that post-operative pain remains a problem. Controlled epidural anaesthesia and controlled peripheral nerve block which are types of regional anaesthesia provide superior pain relief during and after surgery, making regional anaesthesia of particular relevance in orthopaedic surgery. More so, general anaesthesia has some adverse effects on the outcome of operation and the patient. These adverse effects are rare but may be disastrous and life-threatening necessitating close supervision during and after general anaesthesia. Hence, the preference should be towards regional anaesthesia with regards to the choice of anaesthesia in orthopaedic surgery. This review aims to highlight some concepts and techniques on regional anaesthesia in orthopaedic surgery.

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