Akademik Veri Yönetim Sistemi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.38, sa.6, ss.412-417, 2010 (Scopus)
Aim: We aimed to evaluate retrospectively anesthetic technique, anesthetic management, postoperative complication(s), short term mortality and morbidity in old patients who had urologic surgery. Material and Method: After obtaining approval of the Ethics Commitee, patients who had undergone surgery in urology clinics between 2008-2009 were grouped in two categories as 50 patients aged 65-79 years in Group I, and = 80 years in Group 2. Data about anesthetic and surgical management, ICU montorization, and patients' medical information were recruited from hospital files for further evaluation. Demographic characteristics, ASA scores, details about co-existing diseases, smoking habits, previous surgical management, intraoperative anesthetic technique, intraoperative and postoperative anesthetic agents used were recorded. ICU records, ICU and hospital stay times, complications and patients' health status at discharge were determined. Results: There was no difference between two groups in terms of gender, ASA scores, concomitant diseases and smoking habbit. In Group 1; spinal anesthesia was used for 13 patients (26 %), general anesthesia for 24 patients (48 %), epidural anesthesia for 6 patients (12 %) and sedation was performed in 7 patients (14 %). In Group 2, 9 patients had received spinal (18 %), 28 patients general (56 %), 3 patients epidural anesthesia (6 %) and 10 patients were sedated (10 %). In 65-79 age group, as an induction agent thiopental was used more frequently than propofol and etomidate (p=0.032). As a difference between groups, in the treatment of postoperative pain, combination drug therapy was favoured more than the other medications per se in the comparatively older Group 2. (p<0.001). In 65-79 age group tramadol usage was statistically significantly higher in frequency when compared with the older age group (p<0.001). There was no difference between groups in terms of patients'health status at discharge. Conclusion: In our study we found that postoperative complication risk, ICU, and hospital stay times, and mortality rate were statistically similar in geriatric and advanced geriatric patients who had urological surgery.