What anesthetic technique would you use?
The anesthetic technique has not been shown to be a predictor of PCE. Thus, the anesthetic technique used should be based on the patient assessment and the best tech-nique for maintaining stable intraoperative hemodynamics and adequate postoperative analgesia. There is no defini-tive evidence that one anesthetic technique is safer than another. Tachycardia should be avoided in patients with CAD, thus, agents such as ketamine and pancuronium are probably best avoided. There is some preliminary evidence that epidural analgesia in the postoperative period is asso-ciated with a lower incidence of PCE.