FACTORS ASSOCIATED WITH DELAYED RECOVERY FROM ANAESTHESIA: A PROSPECTIVE OBSERVATIONAL STUDY
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Keywords
Delayed Recovery, Anaesthesia, Postoperative Awakening, Opioids, Elderly Patients Etc.
Abstract
Background: Delayed Recovery From Anaesthesia Is A Common Postoperative Concern That Can Prolong Monitoring Time, Disrupt Perioperative Workflow, And Increase Healthcare Costs. Despite Improvements In Anaesthetic Drugs And Monitoring Technaiques, Some Patients Continue To Experience Slower-Than-Expected Awakening. Understanding The Factors That Contribute To Delayed Recovery Is Essential For Improving Patient Safety And Postoperative Efficiency. This Study Was Done To Identify Clinical And Perioperative Factors Associated With Delayed Recovery From Anaesthesia In Adult Surgical Patients.
Methods: This Observational Study Included 240 Adult Patients Undergoing Elective Surgeries Under General Anaesthesia. Data Were Collected On Demographic Characteristics, Comorbidities, Duration Of Surgery, Anaesthetic Drugs, And Intraoperative Opioid Use. Recovery Time Was Assessed In The Postoperative Period, And Patients Who Needed Longer Than Expected To Regain Full Consciousness Were Classified As Having Delayed Recovery. Multivariate Logistic Regression Was Used To Determine Independent Predictors.
Results: Delayed Recovery Was More Frequently Observed In Patients Aged Over 60 Years. Surgeries Lasting More Than Two Hours Showed A Significantly Higher Likelihood Of Prolonged Awakening. Increased Intraoperative Opioid Requirements Were Also Strongly Associated With Delayed Recovery. These Factors Remained Significant Independent Predictors Even After Adjusting For Other Perioperative Variables.
Conclusion: Delayed Recovery From Anaesthesia Is Influenced By A Combination Of Patient Characteristics And Intraoperative Management. Age Above 60 Years, Longer Surgical Procedures, And Higher Opioid Doses Emerged As Significant Predictors. Recognising These Risk Factors Early Allows Clinicians To Individualise Anaesthetic Plans, Adopt Opioid-Sparing Strategies, And Ensure Closer Postoperative Monitoring For High-Risk Patients. Such Measures Can Enhance Patient Safety And Contribute To Smoother Postoperative Care And Improved Outcomes.
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Dr Yogendra Gupta
Assistant Professor, World College Of Medical Sciences & Research, Jhajjar.Dr. Mahesh Kumar
Senior Resident, Dm Neuroanesthesia Christian Medical College, Ranipet Campus, Vellore, Tamil Nadu
Dr.Vinod Kumar Sharma
Senior Specialist, Community Health Center, Nayla, Jaipur. Rajasthan
