Agents, Techniques, and Complications of Local Anesthesia: Experience in a Tertiary Care Hospital

Abstract

Introduction: Local anesthesia has opened a new door for surgeries recently as a replacement of general anesthesia. The complications of general anesthesia can be minimized using local anesthesia as a substitute. Aim of the Study: The aim of this study was to evaluate the agents, techniques, and complications of local anesthesia. Methods: This cross-sectional study was conducted in department of Anesthesiology and Gynaecology, Rangamati Medical College Hospital, Rangamati, Bangladesh, during the period from July 2020 to June 2022. Total 60 patients having different surgeries were included in this study. Lidocaine, Bupivacaine and Chloroprocaine were used for different surgical procedures. 2% lidocaine, 0.5% bupivacaine and 2% chloroprocaine were given along with adrenaline after dilution. After collection of data, statistical analysis was done using SPSS version 22. Numerical variables were expressed as mean and standard deviation, whereas categorical variables were count with percentage. Result: In this study, mean age was found 56.6 years (SD±4.50 years). Mean hospital stay was 2.2 days (SD±1.4 days). Mean blood loss was 86 mL (SD±26.4 mL). In anterior vaginal wall repair surgery, 5 (23.8%) patients had bleeding and 1 (4.8%) patient had urinary retention. In vaginal correction surgery, 2 (7.7%) patients had nausea, 1 (3.85%) patient had congestive heart failure and 1 (3.85%) patient had superficial thrombophlebitis. In Tension-Free Vaginal Tape surgery, 2 (15.4%) patients had myocardial infarction, 1 (7.7%) had bleeding and 1 (7.7%) had nausea. Conclusion: Local anesthesia has been successful for different surgical procedures. Though there were very few complications using local anesthesia for anterior vaginal wall repair, vaginal correction and Tension-Free Vaginal Tape surgery.