奈良県立医科大学術前術後麻酔科外来（麻酔相談外来）の現況

Abstract

Since its introduction in 1996, pre- and post-anesthetic consultation at the anesthesia clinic has been conducted for the surgical patients in Nara Medical University Hospital. Then, we evaluated many information obtained from those patients. Regarding pre-anesthetic problems, 39.2％ of patients had anesthesia-related complications such as indication of ICU, taking anticoagulant agents, having cardiac complications, etc. Only 55.4％ of patients visited with their families. Eighty-five percent of patients visited the anesthesia clinic after their operation. Additionally, we retrospectively evaluated post-anesthetic complications and satisfaction under general, epidural and splnal anesthesia from 1999 to 2001. Patients with dissatisfaction on splnal anesthesia were of a higher incidence than those on general anesthesia. The common undesirable complications in every anesthetic method were post-operative pain and nausea/vomiting. We concluded that explanations of anesthesia at pre- and post-anesthesia clinic were useful methods for anesthesia patients.