Summary:
The outcome of anaesthesia in coronary artery surgery
depends partly on the duration of invasive manipulations
including endotracheal intubation. It is ideal to avoid
prolonged mechanical ventilation and attempt early
extubation. Depressant effect of some anaesthetic agents
and narcotics makes it a common practice to ventilate the
patients of coronary artery bypass graft (CABG) surgery
overnight resulting in unsatisfactory respiratory and haemodynamic
performance. This study was aimed at overcoming
the effects of prolonged mechanical ventilation after CABG
surgery by using Total Intravenous Anaesthesia (TIVA) and
by extubating the patient early to achieve a better postoperative
respiratory cardiovascular performance.
The study was conducted prospectively on 40 patients
between 40 to 60 years, divided into two groups of 20 patients