Öznur ULUDAĞ, Abuzer ULUDAĞ, Hatice KUŞDERCİ, Ülkü SABUNCU, Ebru DUMLUPINAR, Ruslan Abdullayev

Adıyaman İlinde Acil Cerrahi Operasyonların Sıklık ve Dağılımı

Amaç: Acil anestezi planlı olmayan cerrahi işlemler için verilen anestezidir. Bölgelerin acil cerrahi profilinin belirlenmesi ameliyat ekibinin gelebilecek olgulara hazırlıklı olmasına ve hastaların daha iyi şartlarda ameliyata alınmasına imkân sağlayacaktır. Bu çalışmada, Adıyaman ilinde acil kliniğine başvurup acil şartlar altında ameliyat olan hastaların sıklık ve dağılımının belirlenmesi amaçlandı.Yöntem: Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi ameliyathanesinde 01.01.2014-31.12.2014 tarihleri arasında acil cerrahi operasyon geçiren hastalar retrospektif olarak incelendi. Hastaların yaş, cinsiyet, tanı, operasyonu gerçekleştiren klinik, kullanılan anestezi yöntemi ve operasyonun yapıldığı tarih kaydedildi. Veriler SPSS 21.0 programı kullanılarak değerlendirildi. p˂0,05 değeri istatistiksel olarak anlamlı kabul edildi.Bulgular: Toplamda 583 hastanın verileri incelendi. Bunların 370’i (%63,5) erkek, geri kalanı kadındı. En çok acil cerrahi uygulanan bölümler genel cerrahi, çocuk cerrahisi, ortopedi ve beyin cerrahisiydi. Hastaların %96,4’ü endotrakeal entübasyon, %1,2’si laringeal maske (LMA), %2,2’si spinal anestezi, %0,2’si de rejyonel intravenöz anestezi (RİVA) ile anestezi aldı. Acil operasyonların mevsimsel dağılımı incelendiğinde, en fazla vakanın yaz, en az vakanın ise kış aylarında alındığı gözlemlendi. Sonuç: Adıyaman ilinde yılda 500’ün üzerinde hasta acil cerrahi geçirmektedir. En fazla acil cerrahi yapan bölümler genel cerrahi, çocuk cerrahisi, ortopedi ve beyin cerrahisidir. En fazla acil cerrahi yaz aylarında yapılmaktadır.

Anahtar Kelimeler:

Acil cerrahi operasyon; acil anestezi; genel anestezi

Frequecy and Distribution of Emergency Surgeries in Adıyaman Province

Aim: Emergency anesthesia is the anesthesia procedure applied during an unplanned surgery. Determination of emergency surgery profile of a province will allow surgeons to be ready for possible cases, and for the patients to be operated in better conditions. Aim of this study was to determine frequency and distribution of surgeries performed after admission to emergency clinic in Adiyaman province. Method: Patients who had emergency surgery at operating theater of Adiyaman University Research and Education Hospital between 01.01.2014 and 31.12.2014 were retrospectively evaluated. Age, sex, diagnosis, operating clinic, anesthesia method applied, and date of surgery were recorded. Data were evaluated using SPSS 21.0 package program. A p value ˂0,05 was accepted as statistically significant. Results: Data of a total of 583 patients were evaluated. Among them 370 (63,5%) were males and the rest were females. The branches that most commonly performed surgeries were general surgery, pediatrics, orthopedics, and brain surgery. Anesthesia was applied by endotracheal intubation in 96.4%, laryngeal mask (LMA) in 1.2%, spinal anesthesia in 2.2%, and regional intravenous anesthesia (RIVA) in 0.2% of the patients. Evaluation of seasonal variation of emergency operations revealed that the cases were most common in summer and least common in winter. Conclusion: In Adiyaman province emergency surgeries were ≥500/year. The branches that most commonly performed surgeries were general surgery, pediatrics, orthopedics, and brain surgery. Emergency operations were most commonly performed in summer months.

Keywords:

Emergency surgical operation; emergency anaesthesia; general anaesthesia,

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