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Comparative study of two anaesthetic techniques regarding haemodynamic stability for interventional cardiac catheterization | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 4, Issue 3, 2007, Pages 316-322 | ||
| Author | ||
| Mohammed Sami Alkafaji | ||
| Abstract | ||
| This study compares two anesthetic techniques regarding haemodynamic stability used to anesthetize 26 patients with atrial septal defect admitted for occlusion of ASD by cardiac catheterization using Amplatzer occluder in Ibn Albitar cardiac center in Baghdad, patients are ASA I and II unpremeditated, were divided into two groups, First group was given Propofol and Alfentanil induction then continuous infusion of Propofol and Alfentanil, second group was given ketamine and Midazolam induction then continuous infusion of ketamine and midazolam. Both groups were given muscle relaxants and intubated with endotracheal tube and ventilated artificially with 100% O2 .The propofok-Alfentanil group showed better haemodynamic stability than ketamine-midazolam group as seen from comparison of HR and BP changes at 5min,15min, 30min after induction and at the end of the procedure . Ketamine inspite of its wide use during cardiac catheterization especially for pediatric patients it has a clear effect on HR and BP, through its infusion it significantly increases both blood pressure and heart rate as compared to Propofol-Alfentanil infusion which showed more haemodynamic stability. | ||
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