Abstract:

Aim: Advances in medical and monitoring technologies have led to a rapid increase in daily surgical practices. In this study, it is aimed to present our outpatient anesthesia results. Materials and Methods: In the prospective observational study, 907 patients who had outpatient surgery were included. Emergency patients, non-operating room anesthesia applications and operations not accompanied by the anesthesia team were excluded from the study. General anesthesia, regional anesthesia or sedo-analgesia were applied to the patients according to the procedure performed. Statistical significance was investigated between risk factors associated with complications and demographics data, anesthetic method, intraoperative and postoperative variables. Results: In February 2020, 2194 patients were operated in our hospital and 907 (41.3%) of the patients met the outpatient criteria. 26.8% of the patients (243 patients) were pediatrics. Ophthalmological procedures were the most frequent ones (67%). The most common types of anesthesia was intratracheal general anesthesia (36.7%). Intraoperative and postoperative complications developed respectively in 2.9% and in 1.9% of the patients. It was found that the complications were associated with endoscopic operations (OR: 4.357 [1.909-9.943], p˂0.001) and high basal heart rate (OR:1.030 [1.009-1.052], p=0.006). Conclusion: While the endoscopic application of the operation and high basal heart rate were associated with complication, no complication-associated anesthesia method was found. The use of fast and short-acting anesthetics, analgesics and neuromuscular blockers, as well as improved monitoring methods, will reduce anesthesia complications during recovery.

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