A COMPARATIVE STUDY OF OUTCOMES AFTER MODIFIED RADICAL MASTECTOMY DONE UNDER THORACIC EPIDURAL vs. GENERAL ANAESTHESIA

Autor:	Satya Srinivas P, Jakkula Kishore, Kamesh P, Tadepalli V. N. Sarat Chandu
Jazyk:	angličtina
Rok vydání:	2017
Předmět:	medicine.medical_specialty business.industry lcsh:R5-130.5 Modified Radical Mastectomy General Anaesthesia Thoracic Epidural Surgery Thoracic epidural Anesthesia Medicine General anaesthesia MRM business lcsh:General works
Zdroj:	Journal of Evidence Based Medicine and Healthcare, Vol 4, Iss 25, Pp 1444-1446 (2017)
ISSN:	2349-2570 2349-2562
Popis:	BACKGROUND In earlier days General Anaesthesia (GA) was the choice for MRM, but recently Thoracic Epidural (TE) analgesia is being increasingly used for MRM. TE technique has a lot of advantages over the conventional GA technique. MATERIALS AND METHODS 100 patients with carcinoma breast are divided into two groups- Thoracic Epidural (TE) and General Anaesthesia (GA) of 50 patients each. Four patients in TE group were converted to GA in view of patient’s anxiety during surgery. All the intraoperative parameters heart rate, blood pressure, bleeding and postoperative outcomes, seroma formation, drains, wound infection rates, flap necrosis and hospital stay are recorded. RESULTS The demographic data showed no differences between both groups. During the intraoperative period, hypertension and tachycardia were more frequent in GA group while hypotension and bradycardia more in TE group, which was statistically significant (p value
Databáze:	OpenAIRE
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