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

Cilt: 2 Sayı: 4 1 Aralık 2005
  • R. S. Achurin
  • M. G. Lepilin
  • A. Bajalieva
  • S. V. Torshin
  • P. M. Lepilin
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Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery

Öz

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

Anahtar Kelimeler

Kaynakça

  1. 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
  2. Aybek T, Kessler P, Khan MF et al. Operative techniques in awake coronary bypass grafting. Thorac Cardiovasc Surg 2003;125:1395-400
  3. 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
  4. 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
  5. 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
  6. 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

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

R. S. Achurin Bu kişi benim

M. G. Lepilin Bu kişi benim

A. Bajalieva Bu kişi benim

S. V. Torshin Bu kişi benim

P. M. Lepilin Bu kişi benim

Yayımlanma Tarihi

1 Aralık 2005

Gönderilme Tarihi

27 Nisan 2015

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2005 Cilt: 2 Sayı: 4

Kaynak Göster

APA
Achurin, R. S., Lepilin, M. G., Bajalieva, A., Torshin, S. V., & Lepilin, P. M. (2005). Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine, 2(4), 144-149. https://izlik.org/JA32JK66DK
AMA
1.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):144-149. https://izlik.org/JA32JK66DK
Chicago
Achurin, R. S., M. G. Lepilin, A. Bajalieva, S. V. Torshin, ve P. M. Lepilin. 2005. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine 2 (4): 144-49. https://izlik.org/JA32JK66DK.
EndNote
Achurin RS, Lepilin MG, Bajalieva A, Torshin SV, Lepilin PM (01 Aralık 2005) Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine 2 4 144–149.
IEEE
[1]R. S. Achurin, M. G. Lepilin, A. Bajalieva, S. V. Torshin, ve P. M. Lepilin, “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”, European Journal of General Medicine, c. 2, sy 4, ss. 144–149, Ara. 2005, [çevrimiçi]. Erişim adresi: https://izlik.org/JA32JK66DK
ISNAD
Achurin, R. S. - Lepilin, M. G. - Bajalieva, A. - Torshin, S. V. - Lepilin, P. M. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine 2/4 (01 Aralık 2005): 144-149. https://izlik.org/JA32JK66DK.
JAMA
1.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., vd. “Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery”. European Journal of General Medicine, c. 2, sy 4, Aralık 2005, ss. 144-9, https://izlik.org/JA32JK66DK.
Vancouver
1.R. S. Achurin, M. G. Lepilin, A. Bajalieva, S. V. Torshin, P. M. Lepilin. Peculiarities of Hemodynamic Changes During High Thoracic Epidural Anesthesia in Beating Heart Surgery. European Journal of General Medicine [Internet]. 01 Aralık 2005;2(4):144-9. Erişim adresi: https://izlik.org/JA32JK66DK