European Journal of Biomedical and Pharmaceutical Sciences

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 and Dr. Tanwee

ABSTRACT

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.

Keywords: neurological, complication, type-I, type- II, mortality, CT scan.