Protection against cardiac ischemia/reperfusion injury is the basic objective in open heart surgery, and it may be achieved by pharmacological preconditioning or Postconditioning. In this study, we aimed to compare the effects of two different anest
hetic techniques (inhalation and total intravenous anesthesia) on ischemia-reperfusion injury in Coronary Artery Bypass Graft surgery. 80 CABG patients were randomly assigned into one of tow groups: Group A Sevoflurane (n=40) and Group B total intravenous anesthesia (n=40) with Propofol . data of hemodynamic monitoring and inotrops using were recorded. Arterial blood samples were taken in the preoperative period (T0), 12th hours (T1) ,24th hours (T2) and 48th hours postoperatively, and Troponine I levels were measured . The time of ventilation, ICU and total hospitalization were recorded .
Postoperative levels of troponine I were significantly lower in the Sevoflurane group with less using of inotrops and less staying in the ICU post-op . We conclude that the use of a volatile anesthetic regimen in CABG surgery associate with better preservation of myocardial function and a reduced postoperative release of
troponine I.
The incidence of vascular injuries resulting from war injuries has increased in Syria due to the conditions of war. It was previously considered rare and rare for a long time, This constituted a great challenge to vascular surgeons in particular, an
d surgeons in general, because of the seriousness of these injuries, whether the risk of vascular damage or the risk of accompanying injuries such as bone fractures or nerve injuries; etc. This may led to a disastrous results such as; partial or total limb amputation, or limb incompetence. These kinds of injuries were considered a real medical conditions, cause for several reasons, including: the lack of medical Experiences and medical staffs in this particular field, as well as the lack of diagnostic and treatment methods, and their high costs due to the conditions of war.
