PMID: 15220766Jun 29, 2004Paper

Choice of primary anesthetic regimen can influence intensive care unit length of stay after coronary surgery with cardiopulmonary bypass

Anesthesiology
Stefan G De HertInez E Rodrigus

Abstract

Volatile anesthetics protect the myocardium during coronary surgery. This study hypothesized that the use of a volatile agent in the anesthetic regimen would be associated with a shorter intensive care unit (ICU) and hospital length of stay (LOS), compared with a total intravenous anesthetic regimen. Elective coronary surgery patients were randomly assigned to receive propofol (n = 80), midazolam (n = 80), sevoflurane (n = 80), or desflurane (n = 80) as part of a remifentanil-based anesthetic regimen. Multiple logistic regression analysis was used to identify the independent variables associated with a prolonged ICU LOS. Patient characteristics were similar in all groups. ICU and hospital LOS were lower in the sevoflurane and desflurane groups (P < 0.01). The number of patients who needed a prolonged ICU stay (> 48 h) was also significantly lower (propofol: n = 31; midazolam: n = 34; sevoflurane: n = 10; desflurane: n = 15; P < 0.01). Occurrence of atrial fibrillation, a postoperative troponin I concentration greater than 4 ng/ml, and the need for prolonged inotropic support (> 12 h) were identified as the significant risk factors for prolonged ICU LOS. Postoperative troponin I concentrations and need for prolonged inotropic su...Continue Reading

References

Sep 1, 1995·The Annals of Thoracic Surgery·R M EngelmanD K Das
Apr 1, 1993·Journal of Cardiothoracic and Vascular Anesthesia·B A Shapiro, P R Lichtenthal
Jul 1, 1997·The Annals of Thoracic Surgery·M J LondonF L Grover
Jul 27, 1999·The Annals of Thoracic Surgery·A Penta de PeppoL Chiariello
Aug 24, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S A NashefR Salamon
Oct 19, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P Van der LindenG Simoens
May 1, 2002·JAMA : the Journal of the American Medical Association·T Bruce FergusonUNKNOWN Society of Thoracic Surgeons National Adult Cardiac Surgery Database
Jul 20, 2002·Anesthesiology·Stefan G De HertInez E Rodrigus
Dec 19, 2002·British Journal of Anaesthesia·P W C ten BroeckeH F Adriaensen
Jun 7, 2003·European Journal of Anaesthesiology·S R El AzabG J Scheffer

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Citations

Sep 9, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Chun Hua Yu, W Scott Beattie
Jul 15, 2005·Best Practice & Research. Clinical Anaesthesiology·Stefan G De Hert
Jun 9, 2009·British Journal of Anaesthesia·J FrässdorfW Schlack
Jun 16, 2012·European Heart Journal·Nico Bruining
May 28, 2005·Anesthesia and Analgesia·Stefan G De HertDavid F Stowe
Oct 22, 2009·Anesthesia and Analgesia·Takayuki KitamuraYoshitsugu Yamada
Mar 1, 2005·Future Cardiology·Andreas LehmannFrank Isgro
Nov 6, 2009·Future Cardiology·Giovanni LandoniAlberto Zangrillo
Jan 13, 2009·Annals of Cardiac Anaesthesia·Giovanni LandoniAlberto Zangrillo
Jan 21, 2014·Revista española de anestesiología y reanimación·R González-RodríguezM V Moral García
Jul 15, 2005·Best Practice & Research. Clinical Anaesthesiology·Nina C Weber, Wolfgang Schlack
Jan 11, 2013·Scandinavian Cardiovascular Journal : SCJ·Jiang WangYong-Qiang Zhang
Jul 28, 2013·Journal of Critical Care·Jose L Guerrero OrriachJ Cruz Mañas
Jul 24, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Elena BignamiAlberto Zangrillo
May 18, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Nihal Gökbulut ÖzarslanÜlkü Aypar
Sep 30, 2015·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Hong-Yan XiongZhen-Xiao Jin
Oct 17, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Stefan G De HertPhilippe J Van der Linden
Jul 30, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Giovanni LandoniAntonio Colombo
May 23, 2008·Best Practice & Research. Clinical Anaesthesiology·Yon Hee Shim, Judy R Kersten
Oct 2, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Carl-Johan JakobsenErik Sloth
Aug 7, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Giovanni LandoniGiorgio Torri
Oct 2, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Giovanni LandoniAlberto Zangrillo
Jan 15, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Vincent Piriou, Pascal Chiari
Apr 10, 2007·Journal of Cardiothoracic and Vascular Anesthesia·C Roger GouckeKenneth F Ilett
Aug 4, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Fabio GuarracinoAlberto Zangrillo
Oct 7, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Suraphong LorsomradeeStefan G De Hert
Feb 21, 2006·Annales Françaises D'anesthèsie Et De Rèanimation·C BaufretonF Pinaud
Apr 14, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·P ChiariV Piriou

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