Gediminas Mačys, Viktorija Vasiukevičiūtė, Tadas Lenkutis


Aim. To evaluate and assess the role of anaesthesia type in the development of lung X-ray changes after open-heart surgery.

Methods. This is a retrospective study. During the period of 2019 11–2021 06, 287 patients underwent open-heart surgery with general anaesthesia (GA) (230 patients) or thoracic epidural analgesia with general anaesthesia (TEA + GA) (57 patients). We have collected data of patients’ X-rays that were performed on the first and the fifth day after the surgery.

Results. There is a statistically significant relation that patients who received TEA + GA developed more chan­ges of venous stasis (p<0.05) in lungs X-ray on the first day post-surgery. Other findings revealed that following surgery, all the chest X-ray changes were detected more frequent in patients who had GA vs. TEA + GA perfor­med. Nevertheless, these results didn’t show statistical significance (p>0.05).

Conclusions. The study reveals that there is a difference between anaesthesia method used for the development of abnormal pulmonary X-ray findings. The study shows that people who received TEA + GA were more prone to developing venous stasis post-surgery.

Keyword(s): General anaesthesia, thoracic epidural analgesia, chest X-ray, open-heart surgery.

DOI: 10.35988/sm-hs.2022.141
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