Original Research Article
Year: 2020 | Month: July-September | Volume: 5 | Issue: 3 | Pages: 83-86
Spectrum of Anesthetic Services Provided At a District Hospital in North India: A Retrospective Observational Study
Vipan Garg1, Anju Bala2, Kuldeep Chand Vatsyan3
1In-charge Anesthesiology and Intensive care, Regional Hospital Bilaspur (HP)
2Junior Resident Pediatrics, DRPGMC Tanda
3Senior Resident Orthopedics, SLBSGMCH Nerchowk
Corresponding Author: Anju Bala
ABSTRACT
Background: Anesthesiology is a highly specialized field of medicine which determine the provision of surgical procedure and intensive care delivered at an institution. These services providers are preferably termed as perioperative physicians who not only provide the safe anesthetic services but also provide optimal perioperative hemodynamics which affect the post-operative outcome. In modern era of highly specialized computerized machine and better perioperative monitoring devices, anesthesia have become very mush safe. Availability of such high-end gadgets is not easy in rural settings as they are very costly. This study aims at analyzing the spectrum of anesthetic services provided in a rural setting hospital and scope of improvement in providing better perioperative care and safe anesthesia.
Methods: This retrospective study is conducted between June 2019 to May 2020. We used operation theatre records to analyze different kind of anesthetic services delivered in the mentioned period for various surgical procedures.
Results: This government running rural setting hospital with a single operating table had delivered anesthetic services to total of 873 major surgical procedures in the mentioned period of study. Out of these 225 were emergency and rest were elective procedures. Sub arachnoid block (SAB) was given in maximum number of patients followed by Peribulbar block and general anesthesia. Regional blocks were also practiced here using land mark techniques.
Conclusion: Setup of a single anesthesia workstation with only basic hemodynamic monitoring delivering variety of anesthetic services. In rural setting with high load of poor patients these services need to be delivered in more volume. Single operating table and anesthesia workstation is a major drawback in delivering these services though variety of services delivered as per gadgets available is remarkable.
Keywords: General anesthesia, Sub Arachnoid Block, CSE