Effect of electrocautery maze procedure and amiodarone in rheumatic valvular heart disease patients with atrial fibrillation undergoing mitral valve replacement surgery
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Electrocautery maze and amiodarone will ensure a better controlled sinus rhythm throughout the immediate postoperative period and will make it smoother. Objective: To study the effect of electrocautery maze procedure and amiodarone in RHD patients with AF undergoing mitral valve replacement surgery. Materials and Methods: This randomized prospective double blind clinical trial was carried out among 40 patients undergoing mitral valve replacement surgery in a tertiary care hospital. Randomization was done by using lottery method. Patients were randomly assigned in one of the following two groups. Group I: (CM, n = 20) Cautery maze procedure was done and 100ml normal saline infused over 20 min before induction. Group II: (CM + A, n = 20) Cautery maze procedure was done & Amiodarone 3 mg/kg body weight diluted in 100 ml normal saline infused over 20 minutes before induction. Results: In present study 75% patients in group I and 85% patients in group II were in sinus rhythm at ACC release. 10% patients in group I while 5% patient had ventricular tachycardia/fibrillation at ACC release. 1 patient in group I and no patient in group II had recurrence of AF within 3 days postoperatively. There was no statistically significant difference in the mean value of extubation time 9.95±1.31 in group I & 10.80±4.61 in group II & even in ICU stay 4.75±1.74 days in group I, 5.15±1.13 days in group II. Conclusion: The combination of both electrocautery maze procedure and amiodarone may have a better control over atrial fibrillation than only electrocautery maze procedure alone.
Authors and Affiliations
Ketaki Ramteke, Yogesh Zanwar
Keywords
Related Articles
- EP ID EP315444
- DOI 10.18231/2394-4994.2017.0106
- Views 100
- Downloads 0
Anaesthetic implications during off-pump coronary artery bypass surgery
Offpump coronary artery bypass has emerged as a popular method of coronary revascularization to mitigate the harmful effects of cardiopulmonary bypass It requires surgical and anaesthetic expertise for good results Newer...
Low flow anaesthesia: economic, eco friendly and effective
Introduction: Low flow anaesthesia, a technique introduced by Foldes in 1952 has resurged in clinical practice due to easy availability of low solubility inhalational agents. Being economical, ecological and clinically a...
Oral premedication in children: A randomized study of a combination of oral midazolam, ketamine with atropine vs midazolam and atropine vs ketamine and atropine
Introduction Premedication is widely used in pediatric anesthesia in order to provide sedation and anxiolysis Aim of the study was to compare the effectiveness of combination of low dose oral midazolam and ketamine with...
Lateral approach versus conventional approach supraclavicular block for forearm surgeries. A prospective randomized controlled study
Background and Aims Conventional technique of supraclavicular block is associated with direct injury to the vessels nerves and pleura which can be minimized with lateral approach Here we compared lateral with conventiona...
Anesthesia for neurosurgery (Part II)
The central nervous system 40CNS41 deserves special consideration in the perioperative setting for several reasons for an anesthetist An understanding of neuroanatomy is essential because neuro anesthesia continues to de...