Abstract: Objective To analyze the anesthesia characteristics of Ya'an Lushan-earthquake (YLE) and Wenchuan-earthquake (WCE) victims and provide experience for future medical care during disaster rescue. Methods Collecting related anesthesia information from medical records of surgeries performed for the victims during the two earthquake periods in West China Hospital, Sichuan University. The categories of surgery and anesthesia, patients' condition, intraoperative and postoperative complications were compared. Results Two hundred and twenty five surgeries during YLE and 875 surgeries during WCE were performed in West China Hospital. The main category of surgeries was open reduction and internal fixation(YLE 65.3%, WCE 41.7%). More amputations were carried out in WCE(11.8% vs 1.8%). The victims classified in ASAⅠ in YLE were fewer than those in WCE(4.4% vs 23.2%), while patients with the ASA IV were more in YLE(8.0% vs 1.4%). The main anesthesia method was general anesthesia during both earthquakes(YLE 92.9%, WCE 70.5%). Epidural anesthesia was performed less in YLE(0.8% vs 13.2%). The most common intraoperative complications were hypotension(YLE n=28, WCE n=73), hypoxemia (YLE n=1, WCE n=42) and aspiration(YLE n=0, WCE n=13). Conclusions The main category of surgeries for earthquake victims was orthopedics. Most surgeries were performed under general anesthesia. The earthquake victims were commonly followed by a variety of serious complications. Hypotension, hypoxemia and aspiration should be avoided during the rescue.
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