PMID: 6423244Mar 1, 1984

Patient care problems in patients undergoing reoperation for coronary artery grafting surgery

Canadian Anaesthetists' Society Journal
C BrummettL R Smith

Abstract

Over the past six years there has been a 15-fold increase in the number of patients requiring reoperation coronary artery bypass grafting (RCABG) surgery at the University of Alabama in Birmingham. To determine the perioperative risk, a retrospective chart survey of one calendar year's (1981) experience was made comparing the 58 RCABG patients with 59 cohorts undergoing primary operation. All patients were anaesthetized with diazepam, fentanyl and halothane or enflurane anaesthesia. Preoperative evaluation revealed by history that the incidence of unstable angina and digoxin use were greater (p = 0.05) in the RCABG patients. Cardiac catheterization revealed a higher incidence (26 vs 89 percent) of left main coronary disease in controls and similar indices of left ventricular function (wall abnormalities, ejection fraction and LVEDP). Operating and bypass times were longer (p less than 0.01) for RCABG patients and there was a trend for greater (p = 0.08) use of dopamine in the RCABG patients. CK-MB release was significantly (p less than 0.05) greater in RCABG patients. Serious postoperative complications (CK-MB greater than or equal to 15 IU/L, low cardiac output, and death) were significantly (p = 0.02) greater in the RCABG gro...Continue Reading

References

Apr 1, 1975·The Annals of Thoracic Surgery·J BrazierG Buckberg
Jan 1, 1977·The Annals of Thoracic Surgery·W I NorwoodJ J Collins
Sep 1, 1972·The Annals of Thoracic Surgery·M AdamB F Mitchel
Oct 1, 1981·The Annals of Thoracic Surgery·F L RosenfeldtG R Stirling
Jul 1, 1981·The Annals of Thoracic Surgery·A QaziP J Corso
Jan 1, 1981·Cleveland Clinic Quarterly·F G Estafanous

Citations

Aug 1, 1986·Journal of the American College of Cardiology·G A LamasL Goldman
Oct 1, 1987·Journal of Cardiothoracic Anesthesia·W R CamannJ B Mark
Oct 1, 1991·Journal of Cardiothoracic and Vascular Anesthesia·D M PhilbinM Anderson

Related Concepts

Anesthesia, Intratracheal
Coronary Artery Bypass Surgery
Low Cardiac Output Syndrome
Cardiovascular Agents
Intropin
Trinitrolong
Hypotension
Nitriate
Postoperative Period
Repeat Surgery

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