ปัจจัยที่มีความสัมพันธ์กับระยะเวลาการพักฟื้นในห้องพักฟื้นหลังดมยาสลบ ภายหลังการผ่าตัดก้อนเนื้อที่เต้านม โรงพยาบาลสงขลา

Sorawee Thitilerd

Authors

Sorawee Thitilerd -

Keywords:

Post-Anesthesia Care Unit (PACU), length of stay, breast surgery, opioids, hypotension, antiplatelet agents

Abstract

This study was survey research by retrospective study reviewing the medical records of female patients aged ≥18 years who underwent breast mass surgery under general anesthesia at Songkhla Hospital between 2021 and 2025 (B.E. 2564–2568). A total of 200 cases were included. The objective was to determine the length of stay in the Post-Anesthesia Care Unit (PACU) and to identify factors associated with PACU recovery time following breast mass surgery. Data collected included demographic characteristics, clinical variables, anesthetic medications, and postoperative complications in the PACU. Descriptive statistics were used, and the associations between variables and PACU length of stay were analyzed using correlation coefficients. Statistical significance was set at p < 0.05.

The results showed that the mean age of participants was 49.29±15.79 years. Most patients had a body mass index of 23.0–24.9 kg/m² (34.5%) and had no underlying diseases (48.5%). The majority did not receive antiplatelet or anticoagulant therapy (93.0%), while 7.0% used aspirin. The most common surgical procedure was lumpectomy/breast-conserving surgery (39.5%). The mean operative time was 59.72±33.54 minutes and the mean anesthesia time was 79.73±35.18 minutes. PACU complications included postoperative bleeding/hematoma (10.0%), hypotension (16.0%), and postoperative nausea and vomiting (PONV) (2.5%); no cases of excessive sedation or respiratory depression were observed. The mean PACU length of stay was 60.30±8.29 minutes, and 98% of patients were discharged from the PACU within 90 minutes. Correlation analysis demonstrated that factors significantly associated with PACU length of stay were antiplatelet use (p = 0.0025), opioid dosage (p = 0.0030), postoperative bleeding/hematoma (p = 0.0354), and hypotension (p = 0.0002). In contrast, age, body mass index, comorbidities, type and duration of surgery, type of opioid, postoperative pain level, and postoperative nausea and vomiting were not significantly associated with PACU length of stay.

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