Acta Biomedica Scientia

ANALYZING AND EVALUATING THE USE OF ANAESTHETICS IN A TERTIARY CARE HOSPITAL IN CHITTOOR, ANDHRA PRADESH

Lokya Naik S and China Koteswara Rao Peta

lokya_naik2001@yahoo.com

PNIM, BMXA, MRD, Apendicectomy, Anesthetics, polyanesthesia

Introduction: The pattern of prescribing, dispensing, administering, and ingestion of drug or drugs is defined as Drug utilization pattern. Thus, from the definition it is seen that several factors and steps are involved in drug utilization pattern analysis. Probes in drug use can arise in each of these steps. Some of the factors that contribute to problems are social, organizational, economic, physiologic, historical, or pharmacologic origins. By including outcome variables, the World Health Organization (WHO) expands the definition of drug use. Materials and Methods: Current study is aimed with analyzing and evaluating the use of anesthetics in a tertiary health care hospital by RVS Multi-specialty Hospitals located in Chittoor district, Andhra Pradesh, India. The study was carried out in all the departments of the hospital, but, especially focused on the use of anesthetics and their flow in the hospital. As it is easy to evaluate the flow and use of dug in a hospital by analyzing the cases and studying the case reports of individual patients, the present study is designed as a retrospective study. Results and Discussion: The present retrospective study has involved 135 patients who have attended the RVS multi-specialty hospitals, Chittoor District, Andhra Pradesh, India, in the past 6 months and administered with anesthetic/anesthetics. All the data required for the present study are collected for the individual case reports. From the data collected it was observed that anesthetics have been used in cases of hemiolasty, fissurectomy, tonsillectomy, apendicectomy, haemorrhoidectomy and some other clinical conditions. Among 135 number of patients, 29 have undergone tonsillectomy, 25 were undergone with apendicectomy, 20 for hemioplasty, 11 for haemorrhoidectomy, 19 undergone fissurectomy and the others included 31 cases. Among all the cases, tonsillectomy was done in more number, with a highest percentage of 21.4%. Conclusion: From the retrospective study conducted in RVS Multi-specialty Hospital, Chittoor District, Andhra Pradesh, India, in about 135 patients the pattern of drug use in particular anesthetic drug use has been analysed. The use of combination of anesthetics was found to be in 85 patients among 135 patients and merely more than single anesthetic use with a percentage of 62.96%. BMXA is the local anesthetic used in the hospital in which the study is carried out and Bupivacaine is monoanesthetic, PNIM is general anesthesia used.