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Submitted: 05 February 2014 Modified: 13 June 2014
HERDIN Record #: R04A-DLSHSI-14020508270851

A Retrospective Cross-Sectional Study between Thoracic Epidural Anesthesia versus General Anesthesia For Patients Who Underwent Modified Radical Mastectomy With Axillary Lymph Node Dissection in DLSUMC

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Objective: To compare the recovery time and other related clinical outcomes among patients who underwent modified radical mastectomy (MRM) with axillary lymph node dissection under continuous thoracic epidural anesthesia (CTEA) and general endotracheal tube anesthesia (GETA).

Material and Method: A retrospective cross-sectional study was reviewed in 70 patients who underwent MRM in DLSUMC form July 2008 to June 2013. They were randomly choose using random number tables and categorized into two study groups, GETA group and CTEA group of 35 patients each. Premedications given were 15 mg midazolam, 40 mg omeprazole and 10 mg metoclopramide per orem 1 hour prior to operation time. The data on age, weight, ASA classification, type of anesthesia, duration of surgery, intraoperative hypotension/hypertension, tachycardia/bradycardia, postoperative nausea and vomiting, length of PACU and hospital stay were obtained from the anesthesia record, postanesthesia care unit notes, and chart progress notes.

Results: The subject characteristics between two groups have no significant statistical difference in terms of age, weight and ASA physical status. The intra-operative hemodynamic results suggested that CTEA prevents intra-operative hypertension and tachycardia, but it may cause hypotension and bradycardia. The two groups have no statistically significant differences with respect to length of PACU and hospital stay.

Conclusion: CTEA is an alternative to administration of GETA in patients who underwent MRM with axillary dissection.

Objectives

Objective: To compare the recovery time and other related clinical outcomes among patients who underwent modified radical mastectomy (MRM) with axillary lymph node dissection under continuous thoracic epidural anesthesia (CTEA) and general endotracheal tube anesthesia (GETA).

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3/F Room 6301 De La Salle Angelo King Medical Research Center Abstract Print Format

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