Jigisha Pujara1, Bhavesh Thakkar2, Parineeta Jaiswal3, Tarun Madan4
OBJECTIVE
Anesthetic management for interventional cardiac procedures/cardiac catheterization in pediatric patients is challenging. Cardiac anomalies vary from simple to complex congenital cardiac anomalies, shunts may be present at multiple levels and patients may be profoundly cyanotic, may be with ventricular dysfunction. They usually require sedation and analgesia to maintain steady stable state. In adults, such type of procedures can be well managed with local anesthesia.
METHODS
Fifty patients were included in the study. They were randomly divided into two groups- Group A (n=25) patients received femoral N. block along with IV sedation and analgesia while group B (n=25) patients received only IV sedation and analgesia. Both groups were compared for hemodynamics, pain score and requirement of IV anesthetic agents and any complications if come up.
RESULTS
Group A patients required IV ketamine 3.24mg/kg (±0.31SD) as compared to 5.58mg/kg (±1.6SD) in group B, which suggests significantly reduced requirement of IV anesthetic agents in group where femoral nerve block has been given. Hemodynamic parameters remained stable and comparable (no statistically significant variation) Pain score was less in group A patients than group B.
CONCLUSION
It has been observed that Group A patients required less dosages of IV anesthetic agents, with stable hemodynamics and less pain score and sedation score as compared to group B patients.
