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Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery

Year 2005, Volume: 2 Issue: 4, 144 - 149, 01.12.2005

R. S. Achurin M. G. Lepilin A. Bajalieva S. V. Torshin P. M. Lepilin

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

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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

Year 2005, Volume: 2 Issue: 4, 144 - 149, 01.12.2005

R. S. Achurin M. G. Lepilin A. Bajalieva S. V. Torshin P. M. Lepilin

Abstract

-

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
There are 6 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

R. S. Achurin This is me

M. G. Lepilin This is me

A. Bajalieva This is me

S. V. Torshin This is me

P. M. Lepilin This is me

Publication Date December 1, 2005
Published in Issue Year 2005 Volume: 2 Issue: 4

Cite

APA Achurin, R. S., Lepilin, M. G., Bajalieva, A., Torshin, S. V., et al. (2005). Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine, 2(4), 144-149.
AMA Achurin RS, Lepilin MG, Bajalieva A, Torshin SV, Lepilin PM. Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine. December 2005;2(4):144-149.
Chicago Achurin, R. S., M. G. Lepilin, A. Bajalieva, S. V. Torshin, and P. M. Lepilin. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine 2, no. 4 (December 2005): 144-49.
EndNote Achurin RS, Lepilin MG, Bajalieva A, Torshin SV, Lepilin PM (December 1, 2005) Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine 2 4 144–149.
IEEE R. S. Achurin, M. G. Lepilin, A. Bajalieva, S. V. Torshin, and P. M. Lepilin, “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”, European Journal of General Medicine, vol. 2, no. 4, pp. 144–149, 2005.
ISNAD Achurin, R. S. et al. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine 2/4 (December 2005), 144-149.
JAMA Achurin RS, Lepilin MG, Bajalieva A, Torshin SV, Lepilin PM. Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine. 2005;2:144–149.
MLA Achurin, R. S. et al. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine, vol. 2, no. 4, 2005, pp. 144-9.
Vancouver Achurin RS, Lepilin MG, Bajalieva A, Torshin SV, Lepilin PM. Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine. 2005;2(4):144-9.