PMID: 8969390Dec 1, 1996Paper

Cardiorespiratory changes in patients undergoing pulmonary resection using different anesthetic management techniques

Journal of Cardiothoracic and Vascular Anesthesia
J BoldtG Hempelmann

Abstract

Pulmonary resection may be associated with considerable alterations of the cardiorespiratory system. The ideal anesthetic regimen for these patients is not yet definitely determined. Prospective, randomized study. Single-institutional, clinical investigation in a thoracic anesthesia department of a university hospital. Fifty consecutive patients scheduled for elective thoracic surgery for lung cancer. In 20 patients undergoing lobectomy, fentanyl/propofol/nitrous oxide/vecuronium anesthesia was used, and extubation was planned immediately after surgery (group 1A, early extubation). Another 20 patients with lobectomy were anesthetized during fentanyl/midazolam/vecuronium, and they were extubated in the intensive care unit (ICU) (group 1B, late extubation). Ten patients underwent pneumonectomy (extubation planned in the ICU) (group 2, pneumonectomy). Patients of groups 1A and 1B were selected according to a randomized sequence. Extensive hemodynamic monitoring was performed using a pulmonary artery catheter by which right ventricular hemodynamics (right ventricular ejection fraction [RVEF], right ventricular end-systolic, and end-diastolic volumes) were additionally measured. Measurements were performed after induction of anesthe...Continue Reading

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Citations

Oct 6, 2006·Current Opinion in Anaesthesiology·Giorgio Della Rocca, Maria Gabriella Costa
Dec 14, 2007·Critical Care Medicine·Aaron M JoffeDouglas B Coursin
Dec 3, 1998·Acta Anaesthesiologica Scandinavica·D SatohY Hashimoto
Nov 8, 2007·Respirology : Official Journal of the Asian Pacific Society of Respirology·Humberto E TrejoRoberto Sánchez de León
Jul 4, 2003·Canadian Journal of Physiology and Pharmacology·Bruno Battistini
Nov 15, 2014·Expert Opinion on Drug Delivery·Jacob S BrennerVladimir Muzykantov
Jan 1, 2011·Seminars in Thoracic and Cardiovascular Surgery·Gonzalo VarelaEsther Ballesteros
Nov 12, 2015·Indian Journal of Anaesthesia·Atul PurohitVinod Kumar Parashar
Jan 23, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Abdullah M Al ShehriHaytham Zien
May 7, 2009·Anesthesiology·Waheedullah Karzai, Konrad Schwarzkopf
Jul 13, 2013·The Cochrane Database of Systematic Reviews·Norma S P MódoloRegina P El Dib

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