IMPACT OF INTRAOPERATIVE HYPOTENSION ON POSTOPERATIVE CLINICAL OUTCOMES IN GENERAL AND SPINAL ANESTHESIA

Abstract

Background: Intraoperative hypotension is a common complication that occurs during anesthesia to up to 80% of patients. Although intra operative hypotension is very frequent, it has severe clinical outcomes, including a higher morbidity rate and mortality, cerebral hypo- perfusion, acute renal failure, and reduced cardiac output. Intra operative hypotension is associated with both spinal anesthesia and general anesthesia though the risk factors and causes may vary. To acquire effective prevention and care methods in case of intra operative hypotension, one should know how and why it happens, and what happens in the postoperative period. To provide the required information to the anesthesiologists and perioperative care teams with the aim of giving them pertinent insights, study will evaluate the impact of intra operative hypotension on the postoperative clinical outcomes the patients undergoing general and Spinal anesthesia.

Objective: The main purpose of the proposed study is to investigate the effect of the intra operative hypotension on Postoperative outcomes in patients who are put under General and Spinal anesthesia.

Methodology: There are 143 participants in this cross-sectional study, they were patients of CMA Hospital Lahore and Lahore General Hospital Lahore. Data collection involved the use of standard instruments. It was assured of the validity and reliability. The SPSS version 25 helped in data analysis.

Findings: One hundred patients were used in the research. The average age is 55 years old (40%), high-risk females (55%), who have experienced being under weight (47) according to the data.

Conclusion: To sum up, intraoperative hypotension in General anesthesia and Spinal anesthesia is a severe problem that can make a significant difference in the results of a Post operative patient. To prevent and treat intra operative hypotension, the findings of this paper will underline the importance of close attention to blood pressure and early treatment. Anesthesiologists and perioperative care team can decrease the frequency and effects of intra operative hypotension by identifying patients at risk and implementing evidence-based practices.

Recommendations: The results of this study suggest us to promptly identify and intervene on intraoperative, hypotension, constantly monitor blood pressure in anesthesia.Individualize the methods of fluid management to each patient and his or her risks.Compliance to the standards and administration of vasoactive drugs.Diagnose intraoperative hypotension and prescribe diagnosis drugs and  treatment