Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Dec 2001
Randomized Controlled Trial Comparative Study Clinical TrialChest radiograph interpretation skills of anesthesiologists.
To assess the skills of anesthesiologists in the interpretation of chest radiographs. ⋯ Anesthesiologists are deficient in skills for the interpretation of chest radiographs. The skill level of university-based physicians is not greater than physicians in private practice, and skill level does not improve with level of training or experience. Most anesthesiologists rely on radiologists for interpretative results. Further training during the residency years may help improve diagnostic skills.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2001
Pharmacokinetics of sufentanil in patients undergoing coronary artery bypass graft surgery.
To determine the pharmacokinetics of sufentanil in patients undergoing coronary artery bypass graft surgery. ⋯ The authors have determined a pharmacokinetic model for sufentanil that can be used to maintain desired target concentrations of sufentanil before cardiopulmonary bypass, with a high degree of accuracy and acceptable variability. Concomitantly administered medications (lorazepam, morphine-scopolamine, clonidine, or propofol) do not appear to have any clinically important effects on distribution-phase sufentanil pharmacokinetics.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2001
Anaphylactic or anaphylactoid reactions in patients undergoing cardiac surgery.
To examine the clinical features, treatment, and outcome of anaphylactic and anaphylactoid reactions during cardiac surgery. ⋯ Of the anaphylactic and anaphylactoid reactions, 60% occurred before cardiopulmonary bypass, and these were caused by antibiotics and gelatin solution. The results from this limited database showed that cardiac surgery proceeded without complications after cardiovascular collapse caused by anaphylactic or anaphylactoid reactions. Rapid institution of cardiopulmonary bypass may be life-saving and should be considered.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2001
Randomized Controlled Trial Clinical TrialComparison of nicardipine versus placebo to control hemodynamic responses during emergence and extubation.
To compare 2 different doses of intravenous nicardipine versus placebo to control heart rate and blood pressure responses to emergence and extubation. ⋯ Compared with placebo, both nicardipine doses attenuated blood pressure but not heart rate responses during emergence and extubation. Greater blood pressure control occurred with the larger nicardipine dose of 0.03 mg/kg.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2001
Intra-aortic balloon counterpulsation: outcome in cardiac surgical patients.
To identify the major determinants of survival and nonsurvival for patients in need of intra-aortic balloon pump (IABP) support after cardiac surgery and to define the role of ventilator-associated pneumonia. ⋯ These data suggest that for patients not weaned from the IABP, the major determinants of death are low cardiac output (33.3%) and multiorgan failure (47.6%). Patients with a left ventricular ejection fraction of <30% have a poorer outcome. In patients weaned from the IABP, ventilator-associated pneumonia (66.6%) was the major cause of death.