Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan

  • Mansoor Chandio Aga Khan University Hospital Karachi
  • Faraz Shafiq Aga Khan University Hospital Karachi
  • Ather Enam Aga Khan University Hospital Karachi
Keywords: Neurosurgical procedures, Post-operative, Pakistan

Abstract

Objective: The postoperative period is critical in neurosurgical patients, where the incidence of postoperative AEs is significantly high. Most of events occurs during recovery phase and has got relation to anaesthetic management. The objective of study was to determine frequency of early AEs in elective neurosurgical patients.

Methods: This cross sectional study was conducted at our tertiary care center. The duration of study was one year, from August 2017-July 2018. The data was collected using predesigned proforma. The assessment was done on arrival in recovery room (T1) and then at forty five minutes (T2), twenty-fourth hour (T3) and forty-eighth hour (T4) postoperatively.

Results: Total ninety-five patients were included. Overall, five hundred and forty AEs were recorded at T1, T2, T3 and T4. Anaesthesia related events like pain, postoperative sore throat, hoarseness, shivering and hypothermia were the commonest (73%). There was a gradual decline in incidence of these events over period of 48 hours. There was no effect of age, sex, BMI and blood loss on incidence of AEs.

Conclusions: Postoperative pain, PONV and shivering were frequently reported AEs. We did not identify the impact of age, sex, BMI, comorbid or type of surgery in terms of having these events.

doi: https://doi.org/10.12669/pjms.37.4.3501

How to cite this:
Chandio M, Shafiq F, Enam SA. Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan. Pak J Med Sci. 2021;37(4):939-944.   doi: https://doi.org/10.12669/pjms.37.4.3501

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-05-06
How to Cite
Chandio, M., Shafiq, F., & Enam, A. (2021). Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan. Pakistan Journal of Medical Sciences, 37(4). https://doi.org/10.12669/pjms.37.4.3501
Section
Original Articles