The Anesthesia Techniques for Reductions Intraoperative and Postoperative Complication and Post-Operative Morbidity and Mortality of Stroke Patients

Background: Stroke during surgery is the most dreaded complication for both the patient and the medical team. Stroke risk during surgery reportedly varies across procedures. In minor, non-neurologic, and non-cardiac surgeries, its occurrence is typically low. Objective: In this study our main objective is to evaluate anesthesia techniques for reductions intraoperative and postoperative complication and post-operative morbidity and mortality of stroke patients in ICU. Method: This Retrospective study was carried out at the Department of surgery, Khulna Medical College Hospital, Khulna from January 2020 to January 2021 where 100 patients who underwent different types of surgery were randomized to receive thoracic epidural analgesia along with general anaesthesia in Group-A (50 patients) and only GA in Group-B (50 patients) were included the study. Result: During the study, most of the patients belong to 41-50 years age group for both Group A (48%) and group B (42%). Most of the patients in group A faced cardiac surgery, 50% and in group B most of the patients faced neurologic surgery before stroke, 50%. In group A 80% patients had ischemic and 20% had hemorrhagic. Whereas in group B 85% patients had ischemic and 15% had hemorrhagic. Plus, in group A total 90% patients stay in hospital 6-10 days where as group B it was 15%. Moreover, in group A mortality rate was 20% where as in group B it was 25%. Conclusion: Our findings suggest that combining TEA and GA during surgery reduces the risk of stroke for patients to a similar extent as GA alone. Even more research is required for a more favorable result.