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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Traumatic hip surgery: Clinical study to evaluate the relationship between intra-operative hypotension and post-operative complications
Dr. Raj Kumar Mishra, Dr. Udai Singh, Dr. Ashish Nahar

Background: Recent research in non-cardiac surgery has examined the link between intra-operative hypotension and post-operative problems. About this connection in traumatic hip surgery, little is known. Our research intended to learn more about this connection. Objective: To ascertain how postoperative problems in these individuals relate to intraoperative hypotension along with the evaluation of the connection between post-operative problems and delayed operation, anaesthetic type, and intra-operative blood transfusion. Methods: Retrospective research was done on patients who had their traumatic hip fractures surgically corrected. We looked at 122 individuals' perioperative blood pressure values and instances of intraoperative hypotension. Hypotension was defined as a prolonged drop in blood pressure of at least 30% from the pre-induction level for at least 10 minutes. It was assessed how intra-operative hypotension and problems following surgery interacted. New occurrences or illnesses that required post-operative care for 48 hours were referred to as post-operative complications. Type of anaesthesia, blood transfusion rate, pre-operative comorbidities, and delay in surgery were among the variables examined. Results: Data from 122 patients who undergone various kinds of traumatic hip surgery were examined. 67 patients (54.9%) acquired intraoperative hypotension, and of these 67 patients, 38 (56.7%) experienced postoperative problems. Compared to patients with stable vital signs, individuals with hypotension experienced post-operative problems much more frequently (56.7% vs. 34.5% P 0.01). Patients having general or spinal anaesthesia experienced the same rate of post-operative complications, with no statistically significant differences. There was no discernible connection between pre-operative comorbidities and post-operative problems. Both intra-operative hypotension and post-operative problems were linked to intra-operative blood transfusion. Conclusion: In patients undergoing traumatic hip surgery, there was a correlation between intra-operative hypotension and post-operative problems.

 
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