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.