Vol. 5, Issue 12 (2019)
Evaluation of vas score in patients undergoing surgery diagnosed with hypertension undergoing the general and regional anesthesia
Author(s): Dr. Deepak Kumar Maurya
Abstract: Cardiovascular stability is important during anaesthesia and the perioperative period. Hypertensive patients are at risk of greater swings of blood pressure than the normal population and it has been shown that blood pressure lability can be associated with increased cardiovascular morbidity and mortality postoperatively, particularly in patients with severe uncontrolled hypertension. Optimisation of such patients with investigation and drug treatment can improve long term outcome and prevent such complications. Patients who have hypertension require a higher blood pressure for adequate organ perfusion than normotensive patients – this is particularly in the elderly. Avoidance of hypotension (and apparent normotension in patients who normally rely on higher values in everyday life), may prevent complications of under perfusion. Hence based on above findings the present study was planned for Evaluation of VAS Score in Patients Undergoing Surgery Diagnosed with Hypertension Undergoing the General and Regional Anesthesia. The present study was planned in Department of Anesthesia and Critical Care, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India. The study was conducted from the duration of March 2019 to October 2019. Total 30 cases of the hypertensive patients undergoing surgery by General and regional anaesthesia were enrolled in the present study. The 15 cases were enrolled in the Group A as patients undergoing the General Anesthesia. The remaining 15 cases were enrolled in Group B as Regional anesthetic cases. The post-operative VAS pain score among the patients of both the groups were retrieved for the study. The 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. Hypertension is a modifiable risk factor for cardiovascular diseases and outcomes, and the same is true of the patient presenting for surgery.