Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Meta Analysis Comparative StudyAlbumin versus crystalloid for pump priming in cardiac surgery: meta-analysis of controlled trials.
To determine the effects of pump priming fluid choice on platelets, fluid balance, and clinical outcomes. ⋯ Albumin prime better preserves platelet counts than crystalloid. Albumin also favorably influences colloid oncotic pressure, on-bypass positive fluid balance, postoperative weight gain, and colloid usage. The clinical significance of these observations merits further investigation.
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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
Multicenter Study Comparative Study Clinical Trial Controlled Clinical TrialPerioperative enoximone infusion improves cardiac enzyme release after CABG.
To assess whether routine postoperative enoximone infusion compared with dobutamine improved clinical and biochemical results after coronary artery bypass grafting with cardiopulmonary bypass. ⋯ Postoperative enoximone reduced troponin I release and need for inotropic support in patients undergoing on-pump myocardial revascularization. Subgroup data were confirmed in diabetes, left ventricular hypertrophy, and total arterial revascularization.