Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Comparative Study Clinical TrialHemodynamic measurements after cardiac surgery: transesophageal Doppler versus pulmonary artery catheter.
The purpose of this study was to compare hemodynamic data derived from the transesophageal Doppler monitor (Medicina TECO, Berkshire, United Kingdom) against those obtained from a pulmonary artery catheter after coronary artery bypass grafting (CABG). ⋯ A transesophageal Doppler device (Medicina TECO) cannot be relied on as a sole method for monitoring cardiac output and derived hemodynamic variables in patients after CABG surgery.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Caudal anesthesia in pediatric cardiac surgery: does it affect outcome?
The purpose of this study was to examine the influence of caudal anesthesia on outcomes (pediatric intensive care unit [PICU] length of stay, hospital length of stay, ventilatory time, early extubation rate) in pediatric patients undergoing congenital heart disease repair requiring cardiopulmonary bypass (CPB). ⋯ This retrospective study demonstrated that postinduction placement of caudal anesthesia does not affect PICU or hospital length of stay. A well-controlled prospective study is needed to confirm these findings.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled TrialCombination of intrathecal morphine and remifentanil infusion for fast-track anesthesia in off-pump coronary artery bypass surgery.
The purpose of this study was to assess the combination of intrathecal morphine and remifentanil infusion with isoflurane in off-pump coronary artery surgery, with a focus on postoperative analgesia and fast-tracking. ⋯ In the setting of isoflurane anesthesia for off-pump coronary artery bypass grafting, ITM combined with remifentanil infusion provides better postoperative analgesia than does remifentanil infusion alone, and does not improve or negatively affect fast-tracking.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled TrialTopical analgesia for chest tube removal in cardiac patients.
The aim of this study was to evaluate the efficacy of topical valdecoxib as an analgesic during chest tube removal in postcardiac surgical patients. ⋯ Topical valdecoxib is a safe and effective topical analgesic for chest tube removal in cardiac patients.