Indian Journal of Clinical Anaesthesia 2019;6(4):538–542
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Indian Journal of Clinical Anaesthesia
Journal homepage: www.innovativepublication.com
Original Research Artic;e
Retrospective evaluation of general and regional anaesthesia among hypertensive
patients undergoing surgery
M Vasantha Kumar
1,
*, B Ravi
1
1
Dept. of Anesthesiology, ACS Medical College and Hospital, Chennai, Tamil Nadu, India
ARTICLE INFO
Article history:
Received 13-08-2019
Accepted 21-09-2019
Available online 20-11-2019
Keywords:
General anaesthesia
Hypertension
Regional anaesthesia
Visual analog scale (VAS) pain
Systolic blood pressure
Diastolic blood pressure.
ABSTRACT
Introduction: Hypertensive patients under the effect of general anaesthesia are traditionally found to
be hemodynamically unstable in comparison to normotensive patients. The application of regional
anaesthetics has been widely preferred by surgeons for lower-extremity surgery, but the use of general
anaesthesia during such surgeries are also reported, regardless of evidence that regional anaesthesia is safe
and may confer some advantages over general anaesthesia.
Materials and Methods: The data of 100 hypertensive patients collected from June 2017 to May 2019.
The blood pressure, diastolic blood pressure, heart rate and SPO2 (%) recorded before surgery, during
surgery and post-surgery. All the statistical analyses were performed using the SPSS 24.0 software.
Results: It was observed from the study that the systolic and diastolic blood pressure among the patients
pre, during and post surgery under general anaesthesia was found to be stable throughout while the systolic
blood pressure among the hypertensive patients under regional anaesthesia was found to be lower during
surgery. However, the levels reached to the normal levels post surgery. The median Visual Analog Scale
(VAS) pain score among the patients in general anaesthesia group was found to rise almost immediately
after the completion of the surgery reaching a peak during the 3
rd
hour of post surgery. However, the VAS
pain score among the patients of the regional anaesthesia group was found to rise only after the 2
nd
or 3
rd
hour of post surgery.
Conclusion: The study therefore provides evidence 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.
© 2019 Published by Innovative Publication. This is an open access article under the CC BY-NC-ND
license (https://creativecommons.org/licenses/by/4.0/)
1. Introduction
Hypertension is the most important risk factor for chronic
disease burden in India.
1
Studies from various parts
of India have reported high prevalence of hypertension.
Hypertension (HTN) exerts a substantial public health
burden on cardiovascular health status and healthcare
systems in India. HTN is directly responsible for 57%
of all stroke deaths and 24% of all coronary heart disease
(CHD) deaths in India. The WHO rates HTN as one of
the most important causes of premature death worldwide.
2,3
It has been found that hypertensive patients under the
* Corresponding author.
E-mail address: saratovvasanth@gmail.com (M. Vasantha Kumar).
effect of general anaesthesia are traditionally found to be
hemodynamically unstable in comparison to normotensive
patients. The administration of general anaesthesia is
also reported to cause abnormal cardiovascular response
among the patients in comparison to those administered
with regional anaesthesia.
4
According to previous studies the application of regional
anaesthetics has been widely preferred by surgeons for
lower-extremity surgery, but the use of general anaesthesia
during such surgeries are also reported, regardless of
evidence that regional anaesthesia is safe and may
confer some advantages over general anaesthesia.
5
The
aim of this study was to retrospectively compare amid
general anaesthesia and regional anaesthesia in hypertensive
https://doi.org/10.18231/j.ijca.2019.105
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