Melike GENCER ERKOC, Yüksel ERKİN, Volkan HANCI

Postanestezi bakım ünitesinde takip edilen majör baş-boyun cerrahisi geçiren hastaların değerlendirilmesi: 6 yıllık retrospektif analiz

Amaç: Çalışmada son altı yılda major baş boyun cerrahisi geçiren ve post-anestezi yoğun bakım ünitesinde (PABÜ) takip edilen hastaların verileri retrospektif olarak incelenerek, postoperatif sonuçlara etki eden faktörlerin belirlenmesi amaçlandı. Yöntem: Major baş boyun cerrahisi geçiren ve PABÜ’de postoperatif takibi yapılan hastaların demografik özellikleri, komorbiditeleri, preoperatif laboratuvar bulguları, hastalık evreleri, cerrahi özellikleri, intraoperatif ve postoperatif takip bulguları, komplikasyonları, yatış süreleri, morbiditeleri probel sistemi ve hasta dosyaları incelenerek kayıt ve analiz edildi. Bulgular: Çalışmaya toplam 74 major baş boyun cerrahisi olgusu dahil edildi. Preoperatif sodyum düzeyleri ve intraoperatif kan transfüzyonu ile postoperatif mekanik ventilasyon (MV) süresi arasında istatistiksel anlamlı ilişki saptanmıştır. PABÜ yatış süresi ile 60 yaş üzeri olma, preoperatif albümin ve sodyum değerleri, nötrofil-lenfosit oranları (NLR), kan transfüzyonu ve MV süresi arasında ilişki olduğu belirlenmiştir. Yoğun bakım ihtiyacı gelişmesi ile preoperatif serum sodyum düzeyleri, operasyon süresi, kan transfüzyonu, MV süresi, PABÜ yatış süresi arasında istatistiksel anlamlı ilişki saptanmıştır. Mortalite ile PABÜ yatış süresi ve yoğun bakım ihtiyacı arasında istatistiksel olarak anlamlı ilişki gözlenmektedir. Sonuç: Majör baş boyun cerrahisi hastalarında postoperatif sonuçlar üzerine, preoperatif elektrolit bozuklukları, nötrofil-lenfosit oranları, operasyon süresi, intraoperatif kan transfüzyonu, mekanik ventilasyon süresinin etkili faktörler arasında olduğu belirlenmiştir.

Anahtar Kelimeler:

Cerrahi, Baş, Boyun, Komplikasyon, Mortalite, Yoğun Bakım, Post-Anestezi Bakım Ünitesi, PABÜ

Overview of the factors affecting outcomes of major head and neck surgery patients discharged to post-anesthesia care unit: 6-year retrospective analysis

Objective: In this study, it is aimed to determine the factors affecting the postoperative results by retrospectively examining the data of patients who had undergone major head and neck surgery were followed up in the post-anesthesia critical care unit (PACU). Method: Demographic characteristics, comorbidities, preoperative laboratory findings, surgical characteristics, intraoperative characteristics, postoperative follow-up findings, complications, length of stay (LOS), morbidity data of patients who underwent major head and neck surgery and were followed up in PACU were analyzed. Results: A total of 74 major head and neck surgery cases were included in this study. A statistically significant relationship was found between preoperative sodium levels, intraoperative blood transfusion and mechanical ventilation (MV) time. It was determined that there was a relationship between PACU LOS and preoperative albumin and sodium level, neutrophil-lymphocyte ratios, blood transfusion and MV duration. A statistically significant relationship was found between the development of the need for intensive care and preoperative sodium levels, operation time, blood transfusion, MV duration, and PACU LOS. A statistically significant relationship is observed between mortality and PACU LOS and need for intensive care. Conclusion: It has been determined that preoperative electrolyte disturbances, neutrophil-lymphocyte ratios, operation time, intraoperative blood transfusion and mechanical ventilation time are among the factors that affect postoperative results in major head and neck surgery patients.

Keywords:

Surgery, Head, Neck, Complications, Mortality, Critical Care, Post-Anesthesia Care Unit, PACU,

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