Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Intrathoracic blood volume index measured by thermodilution for preload monitoring after cardiac surgery.
To investigate the accuracy of measurement of intrathoracic blood volume index by single thermodilution (ITBVI*) and its sensitivity to detect changes in preload after cardiac surgery compared with conventional transpulmonary arterial dye dilution ITBVI and with conventional monitoring (central venous pressure [CVP] and left ventricular end-diastolic area index [EDAI] by transesophageal echocardiography). ⋯ In patients undergoing cardiac surgery, determination of ITBVI* revealed close agreement with measurements derived by ITBVI. Enhancement in cardiac preload was adequately detected by ITBVI*.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Randomized Controlled Trial Clinical TrialGlucocorticoid effects on the inflammatory and clinical responses to cardiac surgery.
To measure the effects of glucocorticoids on the systemic inflammatory response and clinical recovery after cardiac surgery. ⋯ This study shows significant effects of glucocorticoids on the production of IL-6 and IL-10 in response to cardiac surgery but only minor effects on clinical recovery.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Comparative StudyComparison of continuous, stat, and intermittent cardiac output measurements in patients undergoing minimally invasive direct coronary artery bypass surgery.
To compare intermittent cardiac output (ICO) with continuous cardiac output (CCO) and stat cardiac output (SCO) measurements in patients undergoing minimally invasive direct coronary artery bypass (MIDCAB) surgery. ⋯ Excellent correlation, accuracy, and precision were found among the 3 methods of measuring CO in patients undergoing MIDCAB surgery. Further studies are needed to assess their accuracy in multivessel off-pump coronary artery bypass graft surgery and in patients with poor left ventricular function.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Randomized Controlled Trial Clinical TrialAlfentanil and sufentanil in fast-track anesthesia for coronary artery bypass graft surgery.
To evaluate alfentanil, sufentanil, and the combination of both opioids in patients undergoing cardiac surgery. ⋯ Although the differences among groups regarding extubation time, intensive care unit length of stay, and some hemodynamic data were statistically significant, the differences were clinically small. All 3 anesthetic protocols were shown to be safe and appropriate for patients undergoing elective coronary artery bypass graft surgery and early postoperative tracheal extubation.