Anaesth audit

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JPNATC ANESTHESIA AUDIT 2012

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Anaesth audit

  1. 1. DEPARTMENT OFANAESTHESIOLOGYCENSUS 2012
  2. 2. 320139024173520801000200030004000500060002009 2010 2011 2012NumberofSurgeriesOT CENSUS
  3. 3. Clinical Load194357127219360 500 1000 1500 2000 2500GEN SURGUROLOGYNEUROSURGORTHO 37%24.5%(1%)37.5%
  4. 4. GENERAL SURGERY (n=2000)1647,82.35%353,17.65%MaleFemale20112012Sex distribution
  5. 5. GENERAL SURGERY (n=2000)963, 48%1037, 52%Elec veEmergency845, 54%706, 46% 20112012Elective/emergency
  6. 6. GENERAL SURGERY (n=2000)1702, 85%263, 13%35, 2%AdultsPaediatricGeriar c1401, 90%138,9%12, 1%20112012Age distribution
  7. 7. 1402,70%498, 25%100, 5%G.ARegionalGA+RegionalGENERAL SURGERY (n=2000)1120,72%388,25%43, 3%20112012Type of anaesthesia
  8. 8. 838576545 25 10 19 30100200300400500600700800900ETT PLMA FOB CLASSICLMA I-GEL COBRAPLA DLT SUBMENTALNo.ofcasesAirway Control (n=1502)56%38%
  9. 9. Type of Surgeries21%20%16%6%5%
  10. 10. ASA Grading1324, 66%409, 20% 151, 8% 86, 4%30, 2%ASA 1 ASA 2 ASA 3 ASA 4 ASA 5
  11. 11. Comorbidities16%8%1.6%
  12. 12. Intraoperative Complications6.6%4.4%
  13. 13. 1588, 80%387, 19%25, 1%WARDICUEXPIREDPatient Disposition20112012
  14. 14. 1083,85.14%189,14.86%MaleFemaleNEUROSURGERY (n=1272)20112012Sex distribution
  15. 15. NEUROSURGERY (n=1272)548, 43%724, 57%Elec veEmergency20112012Elective/emergency
  16. 16. NEUROSURGERY (n=1272)1101, 87%126, 10%45, 3%AdultsPaediatricGeriar c20112012Age distribution
  17. 17. Airway Control1044, 82%71, 6% 157, 12%DL ETT LMA FOB ETI
  18. 18. Type of Surgeries28%24%14%12%7% 6% 5%
  19. 19. ASA Grading594, 47%291, 23%297, 23%53, 4%37, 3%ASA 1 ASA 2 ASA 3 ASA 4 ASA 5
  20. 20. Comorbidities13.5%8.2%2.2%1.5%1%
  21. 21. 15812612 115 3183020406080100120140160180BLEEDINGHYPOTENSIONARRHYTHMIABRONCHOSPASMDESATURATIONDELAYEDAWAKENINGBRADYCARDIACARDIACARRESTNo.ofcasesIntraoperative Complications12%10%
  22. 22. Patient Disposition20112012
  23. 23. 1609,83.11%327,16.89%MaleFemaleORTHOPAEDICS (n=1936)20112012Sex distribution
  24. 24. ORTHOPAEDICS (n=1936)1158, 60%778, 40%Elec veEmergency20112012Elective/emergency
  25. 25. 1714, 89%121, 6%101, 5%AdultsPaediatricGeriar cORTHOPAEDICS (n=1936)1237,88%64, 5%101,7%20112012Age distribution
  26. 26. ORTHOPAEDICS (n=1936)20112012Type of anaesthesia
  27. 27. 595, 48%403, 33%112, 9%95, 8%29, 2%SABCSEUSguided BPBlockPNSguided BPblockFemoral N BlockDistribution of RegionalAnaesthesia20122011
  28. 28. 460186156140111 107 9986 83 83 7230050100150200250300350400450500FemurHumerusTibiaBBlegBBFAAcetabulum/DebridementSpineImplantremovalExtfixatorAmputaonArthroscopyNumberofsurgeriesType of surgeries(24%)(10%)
  29. 29. ASA Grading1409, 73%462, 24% 50, 2%15, 1%0, 0%ASA 1 ASA 2 ASA 3 ASA 4 ASA 5
  30. 30. 4292635533 26 26050100150200250300350400450500HTN DM IHD COPD/ASTHMACHRILLNESS TBNumberofpaentsComorbidities22%14%3%
  31. 31. 11265127 5 3130020406080100120BLEEDINGHYPOTENSIONARRHYTHMIABRONCHOSPASMDESATURATIONDELAYEDAWAKENINGBRADYCARDIACARDIACARRESTNumberofcasesIntraoperative Complications6%3%
  32. 32. 54, 3%1882, 97%ICU WARD EXPIREDPatient Disposition
  33. 33. Invasive Monitoring436140401390100200300400500600700TRIPLELUMEN PICC DOUBLELUMENIJV575SCV76%
  34. 34. ANAESTHESIA IN PERIPHERY
  35. 35. ACHIEVEMENTS• Dedicated Pain team for postoperative painrelief• Large number of trauma cases with difficultairway managed successfully• Largest number of major surgeries (spine,pelvis, etc.) managed• Publications: Twenty two• Dedicated Pain team for postoperative painrelief• Large number of trauma cases with difficultairway managed successfully• Largest number of major surgeries (spine,pelvis, etc.) managed• Publications: Twenty two• Academic activities conducted by the dptt- Ultrasound guided regional anaesthesiaworkshop- FCCS programme- Mechanical ventilation workshop• Dedicated Pain team for postoperative painrelief
  36. 36. • Large number of trauma cases with difficultairway managed successfully• Largest number of major surgeries (spine,pelvis, etc.) managed• Nurses educational programme• Inauguration of Pre-anaesthesia clinic• OT services expanded (TC1 OT)ACHIEVEMENTS
  37. 37. TC1 – OT (n=437)1275784169020406080100120140160180Gen Surgery Urology Neurosurgery Orthopaedics29%39%19%13%
  38. 38. • Requirement of a pre-anaesthesia room- central lines- performance of blocksLACUNAE
  39. 39. Thank you

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