Journal of cardiothoracic and vascular anesthesia
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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.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled TrialPerioperative magnesium supplementation to prevent atrial fibrillation after off-pump coronary artery surgery: a randomized controlled study.
Atrial fibrillation is a common complication after cardiac surgery. Magnesium is an effective and safe antiarrhythmic agent for arrhythmias that develop after cardiac surgery. The authors performed a study to evaluate the role of perioperative magnesium for prophylaxis of atrial fibrillation after off-pump coronary artery surgery. ⋯ The use of 2.5 g of intraoperative magnesium showed no effect in preventing atrial fibrillation after off-pump coronary artery bypass.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Meta AnalysisEffects of preemptive epidural analgesia on post-thoracotomy pain.
The purpose of this study was to determine whether preemptive thoracic epidural analgesia (TEA) initiated before surgical incision would reduce the severity of acute post-thoracotomy pain and the incidence of chronic post-thoracotomy pain. ⋯ Preemptive TEA appeared to reduce the severity of acute pain but had no effect on the incidence of chronic pain.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled Trial Comparative StudyComparison of magnesium sulfate with opioid and NSAIDs on postoperative pain management after coronary artery bypass surgery.
This study measured the effectiveness of magnesium sulfate during and after coronary artery bypass grafting (CABG) on postoperative pain and respiratory functions, and compared it with 2 other well-known and widely used analgesic agents: codeine and diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). ⋯ Magnesium sulfate can be a beneficial adjuvant therapy for pain after CABG. In this respect, especially in patients with respiratory problems or intolerance to NSAIDs, magnesium sulfate can be a better choice than NSAIDs and opioids.