Ultra-fast-track anesthetic technique facilitates operating room extubation in patients undergoing off-pump coronary revascularization surgery

Journal of Cardiothoracic and Vascular Anesthesia
G N DjaianiD C Cheng

Abstract

To determine if implementation of ultra-fast-track anesthetic (UFTA) technique facilitates operating room extubation in patients undergoing off-pump coronary artery bypass graft (CABG) surgery. Retrospective review. Referral center for cardiovascular surgery at a university hospital. Thirty-seven patients undergoing off-pump CABG surgery. Two groups represented UFTA (n = 10) and standard anesthetic (controls, n = 27) techniques. Anesthesia was conducted with propofol, remifentanil, vecuronium, and thoracic epidural analgesia in the UFTA group and thiopental, fentanyl, pancuronium, and isoflurane in the control group. Active temperature control was an integral part of the UFTA technique but not the standard technique. The active temperature control included intravenous fluid warmer, prewarmed skin preparation, humidified inspired gases, a circulating water warming blanket, and a forced-air warmer, along with the maintenance of the operating room temperature at 24 degrees C. The control group was managed with an intravenous fluid warmer, and the ambient temperature remained constant (20 degrees C). Patients who did not satisfy extubation criteria within 30 minutes from the end of surgery were sedated and transferred to the intens...Continue Reading

Citations

Jan 15, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Félix R MontesFreddy Ariza
Jul 17, 2012·Seminars in Cardiothoracic and Vascular Anesthesia·Karen E Singh, Victor C Baum
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Feb 19, 2004·British Journal of Anaesthesia·P-G ChassotD R Spahn
Mar 1, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·Paul S Myles, David McIlroy
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