DOI: 10.36347/sjams.2019.v07i03.024

Pages: 973-976

Background: Effective post-operative pain therapy is the most vital aspect which determines a successful surgical outcome in cardiac patients. Aim & Objectives: To compare perioperative outcome of HTEA with conventional Intravenous opioid in adult patients undergoing corrective surgery for ASD. Material & Methods: After approvals from institutional Ethical Committee, a total of 40 patients were included in the study & were randomised into two groups of 20 each namely group A (epidural Anaesthesia) & group B (Intra venous opioid). The two groups were compared for haemodynamic parameters namely heart rate (HR), systolic & Diastolic blood pressure (SBP & DBP). Echo for assessment of LVEF (after 12 hrs of surgery), time to extubation & re-intubation if any, duration of post-operative ventilation, length of stay in ICU, post-operative bleeding (drainage), perioperative urine output & blood glucose levels & pain scores were also compared between the two group. Results: In our study perioperative haemodynamic were found better controlled in HTEA group, there was lower rise in heart rate & systolic blood pressure detected post sternotomy & in the post-operative period. Duration of post op ventilation & time to extubation were also found to be significantly lower in the HTEA group. HTEA group also proved to control post-operative pain better, with significantly lower post-operative bleeding there by overall stay in ICU was also lower in HTEA group. Conclusion: HTEA is recommended for patients undergoing ASD closure under CPB for a better inter operative control of haemodynamic parameter & overall improvements in the outcome of surgery.