Evaluation the Anesthesia Techniques for Reduction of Intraoperative and Postoperative Complications and Post-Operative Morbidity and Mortality Of Stroke Patients in ICU

Objective: In this study our main objective is to evaluateanesthesia techniques for reductions in intraoperative andpostoperative complications and post-operative morbidity andmortality of stroke patients in ICU.Method: This Retrospective study was carried out at theDepartment of Surgery, tertiary care hospital, Dhaka from June2017 to June 2018 where 120 patients who underwent differenttypes of surgery were randomized to receive thoracic epiduralanalgesia along with general anaesthesia in Group-A (60patients) and only GA in Group-B (60 patients) were includedthe study.Results: During the study, most of the patients belong to 41-50years age group for both Group A (47.78%) and group B(43.34%). Most of the patients in group A faced cardiac surgeryand in group most of the patients faced neurologic surgerybefore stroke. Also, 89% of Group-A patients stay in ICU for39-4 hours whereas Group B it was 11%.Conclusion: From our results; we can say that, TEA incombination with general anesthesia for surgery iscomparatively safe rather than general anesthesia whichreduces stroke development in patients. Further study isneeded for better outcome.

The Demographic Profile and Operative Findings after Conventional Surgery in Rectal Cancer Patients

Objective: In this study our main goal is to evaluate thedemographic profile and operative findings after conventionalsurgery in rectal cancer patients.Method: This quasi experimental study was carried out at Thedepartment of General Surgery and Colorectal unit ofBangabandhu Sheikh Mujib Medical University (BSMMU),Dhaka and Somorita Hospital, Dhaka from July 2005 to June2007 where patients who having carcinoma involving themiddle and lower third of the rectum were evaluated. Duringthe study patients were divided into two groups: Group A:Patients undergone total mesorectal excision (TME) and GroupB: Patients undergone conventional operative method. Allpatients were operated under general anesthesia, placed inLloyd- Davies position.Result: In the study, most of the patients belong to 21 - 30years age group and 46.7% patients of Group-A and 56.6% ofGroup-B were males. The rest 52.8% of Group-A and 43.4% ofGroup-B were females. Sexual function preoperatively wellmaintained in 50 (94.3%) patients of group A and 51 (96.2%)patients of group B. Also, local recurrence rate in Group A ratewas 5.7% and in group B was 20.8%.Conclusion: We can conclude that, for management of rectalcancer conventional surgery has some limitation which canaffect the patient’s recovery and health condition. Further studyis needed for better outcome.