COMPARISON OF GENERAL ANESTHESIA AND GENERAL ANESTHESIA PLUS THORACIC EPIDURAL ANESTHESIA FOR PATINETS UNDERGOING OFF PUMP CORONARY ARTERY BYPASS GRAFT SURGERY(OPCABG): A PROSPECTIVE RANDOMISED STUDY

Dr.Anjum Saiyed; Dr.Komal Chopra

Volume : VI, Issue : I, January - 2017

COMPARISON OF GENERAL ANESTHESIA AND GENERAL ANESTHESIA PLUS THORACIC EPIDURAL ANESTHESIA FOR PATINETS UNDERGOING OFF PUMP CORONARY ARTERY BYPASS GRAFT SURGERY(OPCABG): A PROSPECTIVE RANDOMISED STUDY

Dr. Anjum Saiyed, Dr. Komal Chopra

Abstract :

56 patients undergoing OPCABG surgery were randomly divided in to two groups.Study group received general anesthesia plus thoracic epidural anesthesia(GA+TEA) and control group received general anesthesia(GA) .Hemodynamic parameters, requirement of opioids,vasodilators and inotrops were compared between two groups.Total fluid balance and myocardial injury markers (Trop T and CK-MB) were assessed.Postoperative recovery and incidence of compications were also compared among both the groups.We found that mean arterial pressure and requirement of opiods,vasodiltaors and inotropes decreased significantly in GA+TEA group.Total fluid balance was significantly less in GA+TEA group.Number of Troponin T positive and CK-MB levels significantly increased in GA group at 9hr.Postoperative recovery was earlier and complications were less in GA+TEA group.Based on our data GA+TEA for OPCABG surgery appears to be most comprehensive anesthetic technique < clear="all" style="page-eak-before:always;mso-eak-type:section-eak" />