INCIDENCE OF POST-OPERATIVE ADR OF ANESTHETICS IN TERTIARY CARE TEACHING HOSPITAL: CLINICAL PHARMACIST PERSPECTIVES

Abstract

Objective: The objective of the study was to evaluate the use of anesthetics in various general surgical conditions and to identify the adverse clinical outcomes of anesthetics in post-operative patients using questionnaire and verbal rating scale (VRS) score and to assess the treatment pattern of adverse clinical outcomes of anesthetics.Methods: A prospective study was carried out in the Inpatient Department of General Surgery and ICU in S.R.M Medical College Hospital and Research Center involving patients up to 65 years of age. A total of 160 patients were recruited for the study based on inclusion and exclusion criteria. Patient demographics, medical history, type of surgery, type of anesthetics, duration of anesthesia, ASA Grade physical status, system examination, general examination, vital signs, and anesthetics drugs were assessed using pro forma. Adverse clinical outcomes of anesthetics were assessed using VRS score. Day of incidence of adverse outcomes was also monitored, and management of post-operative side effects and its effectiveness were assessed.Results: During the study period, approximately 50% of the patient’s undergone general anesthetics reported post-operative pain. The incidence of post-operative nausea/vomiting, sore throat, and cough was highest in patient’s undergone general anesthetics. The adverse outcomes were measured by VRS score, showed that mild adverse outcomes were predominated.Conclusion: Patients who undergone general anesthetics developed high risk of adverse outcomes. The post-operative recovery of the patientwas the main challenge. If an adverse drug reaction is not monitored the patients satisfaction can be weakened in general surgery. Hence, it isconcluded that pharmacists can play a major role in assessing adverse clinical outcomes and its management.