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
Comparative StudyPostoperative analgesia with ketorolac is associated with decreased mortality after isolated coronary artery bypass graft surgery in patients already receiving aspirin: a propensity-matched study.
This study was designed to determine the effect of ketorolac on mortality after cardiac surgery. ⋯ The use of ketorolac was associated with a statistically significant decrease in mortality at follow-up.
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J. Cardiothorac. Vasc. Anesth. · Dec 2007
The effect of routine intraoperative transesophageal echocardiography on surgical management.
To assess the effects of routine intraoperative transesophageal echocardiography (TEE) on surgical management of patients undergoing all types of cardiac surgery. ⋯ The routine use of TEE during cardiac surgery revealed new cardiac pathology in 1 of every 3 patients and led to altered surgical management in 1 of every 4 patients. TEE information also influenced decisions regarding use/nonuse of CPB in 3% of patients. Thus, the authors suggest that intraoperative TEE should be used routinely in all patients undergoing cardiac surgery.