ASSESSMENT OF INTRAOPERATIVE SPINAL ANESTHESIA INDUCED COMPLICATIONS IN GYNECOLOGICAL AND OBSTETRIC PATIENTS PRESENTING AT GYNAE OPERATION THEATER (OT) IN TERTIARY CARE HOSPITAL, PESHAWAR

Abstract

Background: The proper use of spinal anesthesia in surgical procedure will minimize patient referal and complications. The aim of our study is to determine the incidence of introperative complications associated with spinal anesthesia for obstetric and gynecological procedures in our population. METHODS: Descriptive cross sectional study was conducted in department of gynecology and obstetrics at Rehman Medical Institute, Peshawar, pakistan from july to october 2023. Sample size 267 was selected through convenient sampling technique. All routine and emergency obstetrical and gynecological patients were included. The exclution criteria were those having Coagulopathy, Sepsis, Meningitis, Spinal anatomical disorder and Patient refusal. The population variables were Shivering, Hypotension, Nausea and Vomiting, Number of attempts, High Spinal blocks and cardiac arrest. All variable being categorical were analyzed by frequency and percentage using SPSS version 20. RESULTS: Out of 267 Gynecological patients undergoing spinal anesthesia there were 134(50.2%) patients in which Shivering occure. In 133(49.9%) patients in which there was no shivering occure. Intraoperative hypotension was observed in 151(56.6%) patients and in 116(43.4%) patients there was no intraoperative hypotension. Nausea and vomiting occure in 103(38.6%) patients and in 164(61.4%) patients there was no nausea and vomiting occure. 26(9.7%) patients required more than one attempt and 241(90.3%) patient anesthetize on first attempt. We never observe any case of high spinal block and cardiac arrest in patients. CONCLUSION: Spinal anesthesia is better choice and can be used effectively and safely for Gynecological and obstetric procedures. It is faster to perform and patients are more comfortable with spinal anesthesia

Keywords: Spinal anesthesia, shivering, Hypotension, Nausea and vomiting.