Vol. 5, Issue 12 (2019)
Comparative study between general and regional anesthesia in hypertensive patients on post-operative pain using vas score
Author(s): Dr. Beereshwar Prasad
Abstract: Hypertensive patients can develop wide swings in blood pressure intraoperatively, which increase the risk of postoperative Cardiac and renal complications such as myocardial ischemia, cerebrovascular accidents and acute renal failure. Poorly or untreated hypertension over a period of many years leads to endothelial injury and vascular remodeling that can promote both arteriosclerosis and atherosclerosis. Structural changes in arteriolar walls play a primary role in hemodynamic response to anesthesia and explain greater changes in systemic vascular resistance and arterial pressure in hypertensive patients than normotensive patients with similar degree of sympathetic blockade. Hence based on above findings the present study was planned for Comparative Assessment of General and Regional Anesthesia in Patients Suffering from Hypertension Undergoing Surgeries. The present study was conducted in Department of Anesthesiology, Government Medical College, Bettiah, Bihar, India. Total 50 cases of the patients suffering from hypertension were enrolled in the present study. The 25 cases were enrolled in the Group I as patients undergoing the General Anesthesia. The remaining 25 cases were enrolled in Group II as Regional anesthetic cases. The post-operative VAS pain score among the patients of both the groups were retrieved for the study. The data generated from the present study concludes that there were increased intra-operative fluctuations and reduced post-operative pain among the patients in the regional anaesthesia group in comparison to those under general anaesthesia group.