Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2007
Comparative StudyHigh thoracic epidural anesthesia in coronary artery bypass surgery: a propensity-matched study.
To assess if 2 different anesthesia strategies, high-thoracic epidural anesthesia (HTEA) plus inhalation anesthesia and total intravenous anesthesia (TIVA) with sufentanil/propofol had different influence on outcomes of coronary artery bypass graft (CABG) surgery patients. ⋯ HTEA and TIVA provided similar early outcomes after CABG surgery, and there were no major differences between these 2 strategies in the average risk CABG patient populations. Although HTEA did not cause neurologic problems and yielded a significant reduction in time to extubation, a consistent benefit over standard techniques could not be shown.
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J. Cardiothorac. Vasc. Anesth. · Dec 2007
Randomized Controlled Trial Comparative StudyEffects of intrapleural analgesia on pulmonary function and postoperative pain in patients with chronic obstructive pulmonary disease undergoing coronary artery bypass graft surgery.
Pain after coronary artery bypass graft (CABG) surgery remains a significant problem and may cause serious complications because of restricted breathing and limited early mobilization. The aim of this study was to assess the effects of intrapleural analgesia on the relief of postoperative pain in patients undergoing CABG surgery. ⋯ Improvement in lung function parameters correlating with decreased postoperative pain with intrapleural bupivacaine was observed. Intrapleural analgesia provided a good level of analgesia, improved respiratory performance, and allowed rapid mobilization, which led to a reduction of postoperative respiratory complications.
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J. Cardiothorac. Vasc. Anesth. · Dec 2007
Randomized Controlled TrialRole of magnesium sulfate in postoperative pain management for patients undergoing thoracotomy.
The purpose of this study was to investigate the effect of magnesium sulfate on pain management for post-thoracotomy patients. ⋯ Postoperative use of magnesium sulfate reduced opioid consumption for pain after thoracotomy operations.
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J. Cardiothorac. Vasc. Anesth. · Dec 2007
Randomized Controlled TrialFenoldopam infusion for renal protection in high-risk cardiac surgery patients: a randomized clinical study.
The purpose of this study was to evaluate the renoprotective effects of fenoldopam in patients at high risk of postoperative acute kidney injury undergoing elective cardiac surgery requiring cardiopulmonary bypass. ⋯ A 24-hour infusion of 0.1 mug/kg/min of fenoldopam prevented acute kidney injury in a high-risk population undergoing cardiac surgery.