Presence of Anesthesiologists Causes Major Sense of Differences Outside the Operating Room

Abstract

INTRODUCTION: In our randomized prospective study, in applications of outpatient anesthesia we aimed to compare hemodynamic profile, duration of the procedure and hospitalization, patients' and operators' satisfaction and safety with or without the aid of an anesthesiologist. METHODS: A total of 226 outpatient anesthesia patients were included in this study. The patients were included in two groups as those underwent procedures [percutaneous transhepatic cholangiography (PTC), gastroscopy and/or colonoscopy, endoscopic retrograde pancreotocholangiography (ERCP), hepatic biopsy] performed with (Group 1) and without (Group 2) the aid of an anesthesiologist. Single or combined midazolam, propofol, fentanyl, and pethidine were applied to all patients, leaving to the preference of the practitioner. At the end of the application, anexate was performed in some patients depending on their weights. Demographic characteristics, hemodynamic profile, cognitive functions, duration of the procedure and hospitalization, patients' and operators' satisfaction and complications with or without the aid of an anesthesiologist were compared. RESULTS: Any intergroup difference was not detected as for the distribution of demographic data and procedures performed. Statistically different results were detected regarding to systolic artery pressures(SAP), diastolic artery pressures (DAP), mean arterial pressures (MAP), heart rates (HR) and partial oxygen pressures(SpO2). No intergroup difference was found as for VAS, Ramsey Sedation Scale and Aldrete recovery scores. There was a significant difference in drug preferences and processing times among the groups. Patient and doctor satisfaction was significantly higher in Group I than in Group II. DISCUSSION AND CONCLUSION: It will be safer to perform operations outside the operating room under the supervision of an anesthesiologist.

Keywords

• outpatient anesthesia
• anesthetist
• complication