Yearly census for Anaesthetic Departments in KKM hospitals Year: 2014 Table 1: Hospital: No. of anaesthetics administered according to techniques General anaesthesia (GA) Spinal anaesthesia (SA) Epidural anaesthesia (EA) Combined spinal and epidural (CSE) Combined general and regional anaesthesia (CGRA) Plexus blockade Others Total Excludes LA or spinal given by surgeons, include all peripheral OT complexes e.g. maternity OT Epidural anaesthesia (includes caudal) Spinal anesthesia includes single shot and continuous techniques Combined general and regional anaesthesia (any form of regional techniques) Plexus blockade (upper and lower limbs) Others (include monitored sedation provided by anaesthetists) Table 2: No. of anaesthetics administered according to nature of surgery Elective surgery Emergency surgery Total Excludes LA or spinal given by surgeons, includes all OT complexes Table 3: No. of anaesthetics for day care Day care surgery Day of surgery admissions Daycare:- defined as scheduled surgical procedures provided to patient who do not require hospital stay overnight. Case to be done under GA/Regional only. LA cases to be excluded. Day of surgery admissions:- patient who are admitted on the morning of the operation and under go overnight stay. 1 Table 4: Anaesthetics for LSCS Elective LSCS Emergency LSCS Total Table 5: Anaesthetic techniques for LSCS General anaesthesia Spinal anaesthesia Epidural anaesthesia CSE Others Total Table 6: No. of cases under Regional Anesthesia and Analgesia Done with ultrasound Total Number of Nerve Blocks Done with nerve stimulator Number of Nerve Blocks for anaesthesia Number of Nerve Blocks for analgesia Done with ultrasound Number of Upper Limb Blocks Done with nerve stimulator Done with ultrasound Number of Lower Limb Blocks Done with nerve stimulator Paravertebral Lumbar Plexus Number of Trunk Blocks TAP Blocks Others A) During block performance Poor needle visualization failed block technical difficulty Horner’s Syndrome Complications vascular puncture failed stimulation inadequate spread anatomical variation phenic nerve others 2 B) Post op in ward Persistent numbness Persistent weakness Failed catheter C) At 1 month Numbness Weakness Others Total Table 7: No. of cases under Acute Pain Service according to techniques Patient controlled analgesia (IV opiod) Epidural analgesia Intra-thecal Opiod Nerve/Plexus Infusion S/C morphine Morphine Infusion Oral Analgesics Others Total Epidural analgesia (infusion or patient controlled, lumbar and caudal) Intra-thecal opiod intra-thecal morphine only given for LSCS. Oral analgesics refers to cases being treated post op with oral analgesia only Table 8: Obstetric analgesia service Epidural analgesia for labour Table 9: Anaesthetic Clinic No. of patients assessed at clinic 3 Table 10: Intensive Care Service No. of admissions Patient days Bed occupancy rate* * BOR based on through put is preferred Table 11: High dependency unit / Post-anaesthesia care unit No. of admissions Patient days Bed occupancy rate Table 12: Chronic Pain Clinic Total no. of patients seen in clinic Total no. of patients seen in ward No. of new cases Yearly Paediatric census for Anaesthetic Departments in KKM hospitals for Children ≤ 12years Table 13: No. of anaesthetics administered according to techniques General anaesthesia (GA) Combined general and regional anaesthesia (CGRA) Combined general and plexus blockade including ilioinguinal block MAC/ Sedation TIVA/TCI Total Excludes LA or spinal given by surgeons, include all peripheral OT complexes Epidural anaesthesia (includes caudal) Combined general and regional anaesthesia (any form of regional techniques) Plexus blockade (upper and lower limbs) 4 Table 14: No. of anaesthetics administered according to nature of surgery Elective surgery Emergency surgery Total Excludes LA or spinal given by surgeons, includes all OT complexes Table 15: No. of anaesthetics for day care Day care surgery Day of surgery admissions • • Daycare:– defined as scheduled surgical procedures provided to patient who do not require hospital stay overnight. Case to be done under GA/Regional only. LA cases to be excluded. Day of surgery admissions:- patient who are admitted on the morning of the operation and under go overnight stay. Endorsed by head of department: ………………………………………….. Dated: 5