A Comparative Study to Know the Different Anesthesia Methods and Techniques Used In Iraq

Abstract

Introduction: The population of some countries is growing at a much faster rate than it was in the past. According to the World Health Organization, the population over 60 years of age in the United States and other countries will double by 2021. In fact, in most Western countries, where more than half of the inpatients who undergo surgery are over 60 years of age, it is expected to accelerate, where this trend will increase significantly in the coming decades. Objective: This paper aims to assess a comparative study to know the different anesthesia methods and techniques used in Iraq. Patients and Methods: Data were collected retrospectively through reviews of electronic medical records or electronic hospital records and discharge data for all anesthesia patients in different hospitals in Iraq between 8^th Jun 2021 to 5^th July 2022, who were >50 years of age or older among all patients who underwent procedures. These data were designed with two groups were. The first group was represented with patients under general anesthesia, while the second group represented patients who were under spinal anesthesia. A statistical study was conducted for patients using the SPSS program. Results and Discussions: This study was presented general information within the demography table for patients where the patients within ages 70-80 years were the most injured, that included patients of general anesthesia 19 (47.5%) and patients of spinal anesthesia 16 (40%) with p-value 0.0441. Also, this study found that BMI between (32-34) was 15 (37.5%) for patients of general anesthesia and 18 (45%) for patients of spinal anesthesia. This study found that Postoperative blood loss (ml) got 177.47±153 for General anesthesia and 144.35±156.77 for Spinal anesthesia, as well as Respiratory 3 (7.5%) and Myocardial infarction 3 (7.5%), have the most complications of patients where a number of cases for General anesthesia have 10 cases and 14 cases. Based on the QOR score assessment, QOR, which is considered following anesthesia, is an essential indicator of a patient’s early postoperative health state. In this study, the QOR score assessed that sleep got the best assessment in the group of general anesthesia, 142.22±3.4, which was excellent, while Nausea got a poor assessment for spinal anesthesia that it was 70. 68±45. Conclusion: Through the previous results, this study concluded that General Anesthesia is the best quality and success than spinal anesthesia due to the result that spinal anesthesia has more complications than general anesthesia, as well as the psychological assessment of patients after surgery, where it was found that the Spinal anesthesia have more cases within the weak quality in comparison with patients under general anesthesia.