Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery
Abstract
Aim: Myocardial protection during off-pump coronary artery bypass surgery is a multifactorial problem. Careful, individualized choice of graft sequence and maintenance of stable systemic hemodynamics are of central importance. Patients with coronary artery disease have a high risk of adverse cardiac outcome during and after surgery. Thoracic epidural anesthesia (TEA) aims at a more specific reversible blockade of cardiac sympathetic efferents provides effective intra- and postoperative analgesia. Methods: 82 patients (mean age 69.2±14 years) undergoing off-pump coronary surgery have been divided into 2 groups (traditional general anesthesia (50), TEA combined anesthesia (32) (Naropin). Results: In the TEA group heart rate (HR) was low (12.6%, p
Keywords
References
- Penttilä HJ, Lepojärvi MVK, Kiviluoma KT et al. Myocardial preservation during coronary surgery with and without cardiopulmonary bypass. Ann Thoracic Surg 2001;71:565-70
- Aybek T, Kessler P, Khan MF et al. Operative techniques in awake coronary bypass grafting. Thorac Cardiovasc Surg 2003;125:1395-400
- Ares K. Menon, Johannes M. Albes et al. Occlusion versus shunting during MIDCAB: effects on left ventricular function and quality of anastomosis. Ann Thorac Surg 2002;73:1418-23
- Puskas JD, Vinten-Johansen J, Muraki S, Guyton RA. Myocardial protection for off-pump coronary artery bypass surgery. Semin in Thorac Cardiovasc Surg 2001;13:82-8
- Guyton RA, Thourani VH, Puskas JD, et al. Perfusion-assisted direct coronary artery bypass: Selective graft perfusion in off-pump cases. Ann Thorac Surg 2000; 69:171-75
- Royse C, Royse AG, Soeding P. et al. Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery. Ann Thorac Surg 2003;75:93-100
Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery
Abstract
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Keywords
References
- Penttilä HJ, Lepojärvi MVK, Kiviluoma KT et al. Myocardial preservation during coronary surgery with and without cardiopulmonary bypass. Ann Thoracic Surg 2001;71:565-70
- Aybek T, Kessler P, Khan MF et al. Operative techniques in awake coronary bypass grafting. Thorac Cardiovasc Surg 2003;125:1395-400
- Ares K. Menon, Johannes M. Albes et al. Occlusion versus shunting during MIDCAB: effects on left ventricular function and quality of anastomosis. Ann Thorac Surg 2002;73:1418-23
- Puskas JD, Vinten-Johansen J, Muraki S, Guyton RA. Myocardial protection for off-pump coronary artery bypass surgery. Semin in Thorac Cardiovasc Surg 2001;13:82-8
- Guyton RA, Thourani VH, Puskas JD, et al. Perfusion-assisted direct coronary artery bypass: Selective graft perfusion in off-pump cases. Ann Thorac Surg 2000; 69:171-75
- Royse C, Royse AG, Soeding P. et al. Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery. Ann Thorac Surg 2003;75:93-100
Details
| Primary Language | English |
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| Authors | |
| Publication Date | December 1, 2005 |
| IZ | https://izlik.org/JA32JK66DK |
| Published in Issue | Year 2005 Volume: 2 Issue: 4 |