Original Research Article
Year: 2020 | Month: July-September | Volume: 5 | Issue: 3 | Pages: 316-318
Epidemiological Study of Various Surgeries Performed under Spinal Anesthesia in a Secondary Health Care Institution: A Retrospective Study
Neha Bhardwaj1, Shilpa Kaushal2
1Medical Officer (Anaesthesia), Health & Family Welfare Department, Himachal Pradesh
2Medical Officer (Radiotherapy and Oncology), Dr RPGMC Tanda, Kangra, HP.
Corresponding Author: Shilpa Kaushal
ABSTRACT
Developing countries like India have a greater shortage of medical equipments and healthcare workers. Hence surgery and anesthesia related services are also poor and they are not able to meet the demand of the population. So, institutions at peripheral level play a vital role in providing surgery and anesthesia related services to the patients. Majority of lower abdominal surgeries are performed under spinal anesthesia, as subarachnoid block (SAB) is cost effective, easy to administer, denser block, rapid in action and provides early ambulation to the patient. This study was conducted to find out the prevalence of various surgical operations performed under spinal anesthesia in a secondary health care institution. This retrospective observational study was conducted over a duration of one year from January 2019 to December 2019 in Civil Hospital (CH) Nurpur. Data was collected from OT records to see the incidence of various surgeries conducted by different departments under spinal anesthesia. This data was analyzed using numbers and percentages. Maximum surgical procedures were performed by obstetrician [(n=49)(53.8%)] followed by General Surgeon [(n=42)(46.2 %)]. Our findings suggest that LSCS is the most common surgical procedure followed by cholecystectomy and hernioplasty. Major surgical procedures (laparotomies, orthopedic surgeries, neurosurgeries) at our setup are not done owing to lack of infrastructure and manpower; and upgradation of the same is needed.
Keywords: SAB, LSCS, cholecystectomy, hernioplasty.