Original Research Paper
A Prospective Study Of Neurological Complications Following Cardiac Surgery
Dr. Ashis Halder, Dr Saikat Majumdar, Dr. Soma Chakraborty, Dr. Chhandasi Naskar, Dr. Tusar Kanti Saha, Dr. Tanwee
Introduction- Post cardiothoracic surgery neurological complication causing poor out come and incidence was quite high.Aims & Objective To find out neurological complications, to analyze risk factors and outcome of the neurological complication in cardiac surgery.Methods- Total 477 patients who underwent different types of cardiothoracic operation following same anesthesia & cardiopulmonary bypass protocol evaluated. Predesigned case record form and bed head ticket, CT scan used to collect data.Results- Rate of neurological complication ;over all 6.7%,type I -3.6%, type-II 3.1% .Incidence of neurological outcome among CABG- 8.6%, Valve-8.2%, Non-valve-1.7% .Mortality of type-I neurological injury-4.1%; type-II 6.7%.CT scan report showed ischaemic lesion- 26.7%; whereas normal scan found 66.7% .Only 1 patients showed hemorrhagic lesion. Conclusion - Mortality of type I neurological complication is very high and this is very much related to CPB. In our study type I neurological complication is significantly lower in CABG cases than valve cases.
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