Abstract
Two patients with significant co-morbidities in the form of bronchial asthma and hypothyroidism underwent “awake coronary artery bypass grafting” under high thoracic epidural anaesthesia. Our experience indicates that high thoracic epidural anaesthesia is beneficial in patients with co-morbid conditions undergoing coronary artery bypass grafting. (JMS 2010;13(2):64-66)
Highlights
Two patients with significant co-morbidities in the form of bronchial asthma and hypothyroidism underwent “awake coronary artery bypass grafting” under high thoracic epidural anaesthesia
Ours is a cardiovascular centre situated in a remote panchayat of Perumala, Kerala where two patients with significant co-morbid states namely, bronchial asthma and hypothyroidism, underwent “awake coronary artery bypass grafting”
Well conducted general anaesthesia is an important aspect of cardiac surgery with advantages of good control of gases, haemodynamics, and relief of anxiety.[3]
Summary
Two patients with significant co-morbidities in the form of bronchial asthma and hypothyroidism underwent “awake coronary artery bypass grafting” under high thoracic epidural anaesthesia. Echocardiography was normal and angiography showed severe triple vessel disease. He had diabetes and systemic hypertension as an associated co-morbid diseases. The other patient was a 60 yr old female, with history of frequent unstable angina and was a known case of hypertension and noninsulin dependent diabetes mellitus. She had undergone thyroidectomy 20 yrs back and was not on any thyroid replacement therapy. In view of her hypothyroidism there was some risk of ventilator dependence after the surgery
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