Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Meta Analysis Comparative StudyAlbumin versus crystalloid for pump priming in cardiac surgery: meta-analysis of controlled trials.
To determine the effects of pump priming fluid choice on platelets, fluid balance, and clinical outcomes. ⋯ Albumin prime better preserves platelet counts than crystalloid. Albumin also favorably influences colloid oncotic pressure, on-bypass positive fluid balance, postoperative weight gain, and colloid usage. The clinical significance of these observations merits further investigation.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Multicenter Study Comparative Study Clinical Trial Controlled Clinical TrialPerioperative enoximone infusion improves cardiac enzyme release after CABG.
To assess whether routine postoperative enoximone infusion compared with dobutamine improved clinical and biochemical results after coronary artery bypass grafting with cardiopulmonary bypass. ⋯ Postoperative enoximone reduced troponin I release and need for inotropic support in patients undergoing on-pump myocardial revascularization. Subgroup data were confirmed in diabetes, left ventricular hypertrophy, and total arterial revascularization.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialAnalgesic effects of interpleural bupivacaine with fentanyl for post-thoracotomy pain.
The analgesic effect of bupivacaine/fentanyl with epinephrine given interpleurally after thoracotomy was investigated in a randomized placebo and intravenous controlled study. ⋯ It is concluded that total fentanyl consumption via PCA decreased in all interpleural groups, but pain during coughing and deep breathing was significantly reduced in only the interpleural bupivacaine/fentanyl with epinephrine group.