Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialProspective randomized trial of ketorolac after congenital heart surgery.
Ketorolac is a potent nonsteroidal analgesic agent used to treat postoperative pain. It produces excellent analgesia without the sedating side effects of opioid analgesics. Routine use of ketorolac after cardiac surgery is limited by concerns of bleeding complications. The purpose of this study was to evaluate the risk of bleeding complications of ketorolac for treatment of pain after congenital heart surgery in infants and children. ⋯ Ketorolac can be used to treat pain after congenital heart surgery without an increased risk of bleeding complications.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Clinical Trial Controlled Clinical TrialThoracic epidural local anesthetics are ineffective in alleviating post-thoracotomy ipsilateral shoulder pain.
This study was conducted to estimate the incidence and clinical predictors of post-thoracotomy shoulder pain and to determine the effectiveness of thoracic epidural block in alleviating this pain. ⋯ It is concluded that post-thoracotomy shoulder pain is a common problem, and the previously mentioned variables did not predict its appearance. Thoracic epidural block is effective in the treatment of incision but not shoulder pain. The NSAID indomethacin suppository was found to be effective for that problem.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Comparative StudyIntraoperative fluid management during orthotopic liver transplantation.
To assess clinical safety of a low central venous pressure (CVP) fluid management strategy in patients undergoing liver transplantation. ⋯ Despite success in lowering blood transfusion requirements in liver resection patients, a low CVP should be avoided in patients undergoing liver transplantation.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Comparative StudyPredictors of inotrope use during separation from cardiopulmonary bypass.
To identify the demographic, clinical, and echocardiographic features that predict the use of inotropic support at separation from cardiopulmonary bypass (CPB). ⋯ Incorporating data from a comprehensive intraoperative TEE examination, the authors identified 6 reproducible factors that independently predict the use of inotropic support at separation from CPB.