Complications after spinal anaesthesia in patients treated surgically due to motor organ dysfunction

Introduction
The aim of the study was to investigate the complications occurring on the first day after spinal anaesthesia in patients qualified for surgery of the musculoskeletal system.

Material and methods
The study involved 101 patients qualified for orthopaedic surgery under subarachnoid anaesthesia. Men constituted 55.4% (n = 56) and women 44.6% (n = 45). The group was verified using the ASA scale. The used questionnaire consisted of 2 parts: A and B. It contained basic information (sociodemographic data, type of procedure, ASA scale, size of the needle used, card for measuring basic haemodynamic parameters BP, HR, SpO2) proprietary questionnaires, medical documentation Anesthesia Card, Patient Consent Card for Surgical Procedure, Adlert’s scale and a monitoring card in postoperative care. The survey technique and estimation scale were used.

Results
Based on the analysis, the results show that the alerting symptoms after implementing the spinal anaesthesia, in the form of bradycardia, occurred in 33.7% (n = 34), and hypertension < 90 mmHg was observed in 28.7% (n = 29) which rose to 85 mmHg. There is a correlation between age and the occurrence of undesirable symptoms. The most common symptoms following spinal anaesthesia in the studied group of patients were nausea (1.05) and dizziness (0.84).

Conclusions
Bradycardia accompanied by a drop in blood pressure and a decrease in SpO2 is a complication most common in patients aged 50–65 years. In the opinion of the respondents, nausea and dizziness were unpleasant symptoms occurring on the first day after the applied anaesthesia