Özet:

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.

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