Incidence of post-operative cardiac complications in cardiac patients undergoing urological procedures

Abstract

Context : There are limited studies indicating the incidence of post operative morbidity and mortality in high risk patients. Urological procedures constitute a major portion of geriatric surgeries where a cardiac complication is almost inevitable and therefore this group was selected for this study purpose. Aims: To compare the incidence of post operative cardiovascular complications during regional and general anesthetic techniques in patients with known cardiac risk undergoing urological surgeries. Settings and Design: Prospective randomized double blind study. Methods and Material; 40 patients aged above 50 years posted for elective urological surgeries were enrolled in the study after obtaining approval from hospital ethics committee and written informed consent from the patients. Patients were divided into two groups Aand B. Group A (n=20) received general and group B (n=20) received regional anaesthesia (spinal/ Epidural). All the patients received standard premedication and their basal vitals (BP, HR, ECG pattern) were recorded. The same parameters were monitored in the post operative period at regular intervals. Statistical analysis used : Student