[Perioperative complications in HIV-positive patients]

In a retrospective study, the perioperative findings and complications of AIDS patients and asymptomatic HIV-positive patients were compared to those of HIV-negative patients. Characteristic operations in HIV-positive patients were those of extremities in general surgery, and dilatation and curettage in gynecology. There were significant differences among three groups concerning preoperative hemoglobin, GOT, electrolyte concentrations and heart rate. As the preoperative findings, hepatitis and dyspnea on exertion were remarkable in the HIV-positive patients. During anesthesia tachycardia was more frequent in the HIV-positive patients. Postoperatively high fever, anemia and tachycardia were significantly more frequent in the HIV-positive patients. The postoperative leucocyte count was less in the AIDS-patients than in other two groups. As a whole there are some peculiarities about the estimation of the risk and the planning of anesthesia in the HIV-positive patients.