(11) COMPARISON OF REGIONAL WITH GENERAL ANESTHESIA TECHNIQUES FOR NON CARDIAC SURGEY IN PATIENT WITH ISCHEMIC HEART DISEA
Journal Title: Indian journal of applied basic medical sciences - Year 2014, Vol 16, Issue 22
Abstract
As incidence of ischemic heart disease (IHD) has increased dramatically nowadays, we are finding at least one or two patients of IHD daily in operating lists of our hospital. It is a life style disease and also found in younger age group. Due to advancement in techniques and gazettes of surgery and anesthesia, more and more high risk patients are operated which includes IHD as a major risk group. The cardinal rule for anesthesia in IHD patients is that myocardial oxygen requirement should not be allowed to exceed myocardial oxygen supply. Myocardial oxygen demand can be reduced by reduction in heart rate and after load. Electrocardiograph (ECG) monitoring during anesthesia may reveal fresh events. (12) We have conducting a study in our hospital to evaluate better method of anesthesia for patients of ischemic heart disease operated for non cardiac surgery. AIMS OF STUDY 1) To compare different regional anesthesia techniques with general anesthesia technique in patients of IHD undergoing non cardiac surgery. 2) To compare hemodynamic stability, heart rate, and blood pressure variability in different techniques. 3) TO compare the complications (any new cardiac event) in different techniques. MATERIAL AND METHODS The study comprised of 100 patients of ischemic heart disease subjected to different non cardiac surgeries under general anesthesia and under various regional anesthesia. Inclusion and exclusion criteria were decided. conclusion, In group A, patients receiving sevoflurane as a maintenance agent suffered less cardiac complications as compared to patients receiving Isoflurane.(5). In group B, patients who were operated under peripheral nerve block had no complication as expected while epidural sub group was hemodynamically more stable than spinal sub group.
Authors and Affiliations
Charu Pandia, Urjita Modi
Keywords
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