Adequacy Of Fluid Resuscitation And Outcomes Of Emergency Surgical Patients Attending At Iringa Regional Referral Hospital

ABSTRACT

Background:

Fluid resuscitation is an extremely important part of patients’

management in clinical settings. Different common surgical conditions e.g. excessive

vomiting and acute severe hemorrhage can lead to an increased fluid loss and disturb

the patients’ ph ysiological status leading to worse outc omes. Proper fluid

administration to a surgica l patient, can lead to patients’ improvement from their illness, and hence reducing morbidity and mortality which are the main problems. Therefore, this study was assessing Adequacy of Fluid Resuscitation and O utcome s

of Emergency Surgical Patients, Attended at Iringa Regional Referral Hospital.

Methods:

A hospital based descriptive cross sectional study design of 162

emergenc y surgical patients was conducted at Iringa Regional Referral H ospital in

Tanzania from February 2019 to April 2020

Results:

Among the 162 study participants who were studied, majority 44 (27.2%)

had intesti nal obstruction while the least group had wet foot gangr ene 2(1.2%) 1.2%). The

rest were; Peritonitis, Appendicitis/appendicular abscess, Ches t injuries, Visceral

injuries and multiple cut wounds (22.8%, 14.2%, 1 3.6%, 9.3%, 8.6%) respectively.

Fluid resuscitation caused changes in; pulse rate (96.16 ± 14.295 vs. 86.70 ± 22.441),

respiratory rate (21.02 ± 2.796 vs. 18.96 ± 2.796) 2.796), SBP (101.81± 2 0.727 mmHg vs.

10 6.70 ± 22.441 mmHg) and DBP (62.54 ± 13.648 mmHg vs. 65.12 ± 18.152

mmHg), MAP (75.254 ± 15.459 mmHg vs. 78.778 ± 21.4426 mmHg) and

temperature 37.10± 1.159 vs.35.756±7.068 as from the time of admission and 24

hours post resuscitation

Con

clusion: This study has shown a significant improvement of patients clinical

conditions following fluid administration basing on vital signs, from time of

admission up to 24hrs post resuscitation. Personalized fluid administration in patients

requires cli nicians to integrate abnormal physiological parameters into a clinical

decision making . The p hysiological parameters include; vital signs, urine output and

body weight recordings.