PMID: 15232802Jul 3, 2004Paper

High thoracic epidural anesthesia for off-pump coronary artery bypass surgery

Journal of Cardiothoracic and Vascular Anesthesia
Luca SalviMaria R Marino

Abstract

To assess the feasibility of high thoracic epidural anesthesia combined with sevoflurane for off-pump coronary artery bypass surgery and to evaluate the postoperative pain control, side effects, and perioperative hemodynamics. Retrospective review of prospectively collected data. A university teaching hospital. One hundred six consecutive patients receiving thoracic epidural combined with sevoflurane. From November 1999, the patients undergoing off-pump coronary artery bypass grafting were offered the epidural-inhalation anesthetic approach. Insertion of the epidural catheter was successful in all but 2 patients; 1 bloody tap occurred and the dura was never punctured, although 1 patient presented with postoperative paraplegia. An emergency spinal cord nuclear magnetic resonance excluded signs of medullary compression caused by epidural or spinal hematoma. Visual analog scale scores for pain during the first 24-hour period were < 2 in all patients. Mean time to extubation was 4.6 +/- 2.9 hours. The average intensive care unit stay was 1.5 +/- 0.8 days. Incidences of perioperative myocardial infarction, myocardial ischemia, and atrial fibrillation were 2.8%, 7.5%, and 10.6%, respectively. Two patients died: 1 from multiorgan fail...Continue Reading

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Citations

Apr 30, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Yong X LiangHai C Chu
Dec 11, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Luca SalviNicola Rondello
Dec 11, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Luca SalviErminio Sisillo
Oct 7, 2006·Journal of Cardiothoracic and Vascular Anesthesia·H Mayumi HomiMark Stafford-Smith
Nov 27, 2007·The Annals of Thoracic Surgery·David P MasonEugene H Blackstone
Dec 10, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Yatin Mehta, Dheeraj Arora
Mar 2, 2019·The Cochrane Database of Systematic Reviews·Joanne Guay, Sandra Kopp
Mar 15, 2006·Current Opinion in Anaesthesiology·Julian AlvarezPeter G Atanassoff
Sep 17, 2005·European Journal of Anaesthesiology·L SalviN Rondello
May 25, 2011·Anesthesiology·Smith C Manion, Timothy J Brennan

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