Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2004
Letter Practice Guideline GuidelineThe growing field of anesthesia for liver transplantation.
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J. Cardiothorac. Vasc. Anesth. · Dec 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of analgesic effects of morphine, fentanyl, and remifentanil with intravenous patient-controlled analgesia after cardiac surgery.
The purpose of this study was to compare the analgesic effects of remifentanil with 2 other opioid agents, morphine and fentanyl, after cardiac surgery. ⋯ Despite the different durations of these 3 opioid agents, the infusion dose of remifentanil was as effective as morphine and fentanyl after OPCAB surgery with fewer side effects.
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J. Cardiothorac. Vasc. Anesth. · Dec 2004
Randomized Controlled Trial Clinical TrialOpioid-sparing effects of diclofenac and paracetamol lead to improved outcomes after cardiac surgery.
This study assessed the analgesic efficacy, side effects, time to extubation, and oxygenation of 3 analgesic regimens after coronary artery bypass surgery using diclofenac, paracetamol, and placebo suppositories. ⋯ Diclofenac alone or with paracetamol has a significant opioid-sparing effect after CABG, producing more rapid extubation and better oxygenation.
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J. Cardiothorac. Vasc. Anesth. · Dec 2004
Clinical TrialImproving glycemic control in the cardiothoracic intensive care unit: clinical experience in two hospital settings.
Recent studies suggest that strict perioperative glycemic control improves clinical outcomes after cardiothoracic surgery. However, optimal methods and targets for controlling blood glucose (BG) levels in this setting have not been established. Currently published intensive insulin infusion protocols (IIPs) have important practical limitations, which may affect their utility. In this article, the authors present their experience with a safe, effective, nurse-driven IIP, which was implemented simultaneously in 2 cardiothoracic intensive care units (CTICUs). ⋯ The IIP safely and effectively improved glycemic control in 2 CTICUs, with minimal hypoglycemia. Based on prior studies showing the benefits of strict glycemic control, the implementation of this IIP should help to reduce morbidity and mortality in CTICU patients.