Anesthesia Technique Selection Pattern in Patients Undergoing Lower Extremities Surgery at Dr. Hasan Sadikin General Hospital from January–June 2013

Keshina Amalia Mivina Mudia; Ezra Oktaliansah; Ihrul Prianza Prajitno

Anesthesia Technique Selection Pattern in Patients Undergoing Lower Extremities Surgery at Dr. Hasan Sadikin General Hospital from January–June 2013

Keshina Amalia Mivina Mudia, Ezra Oktaliansah, Ihrul Prianza Prajitno

Abstract

Background: Musculoskeletal problems of the lower extremities are becoming more frequent lately. This problem usually requires surgery to be dealt quickly . The role of the anesthesiologist is needed to determine which anesthesia technique that has to be performed. Selection of proper anesthesia technique can reduce the incidence of complications . Objective of this study was to determine anesthesia technique selection pattern in patients undergoing orthopedic surgery at Dr. Hasan Sadikin General Hospital from January–June 2013.

Methods: A quantitative study with retrospective descriptive method was conducted. This study was carried out from September–October 2013 at Dr. Hasan Sadikin General Hospital Bandung. Medical records were used as a research instrument. Data collection was conducted using total sampling method. There were 228 data of all cases, but only 151 patients who met the inclusion and exclusion criteria.

Results: One hundred fifty one patients were identified. Sixty five subjects (43%) were performed under general anesthesia, 83 subjects (55%) under regional anesthesia and 3 subjects (2%) under combination of general-regional anesthesia. Regional anesthesia techniques consisted of spinal anesthesia (29%), epidural anesthesia (64%), combination of spinal-epidural anesthesia (5%), and peripheral nerve block (2%).

Conclusions: Regional anesthesia is the most frequently technique used in lower extremities orthopedic surgery, with epidural anesthesia as the most common regional technique used because of all the benefits. [AMJ.2016;3(1):141–6]

DOI: 10.15850/amj.v3n1.717

Keywords

Anesthesia techniques, epidural anesthesia, lower extremities, orthopedic surgery

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