Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialAnalgesic effects of interpleural bupivacaine with fentanyl for post-thoracotomy pain.
The analgesic effect of bupivacaine/fentanyl with epinephrine given interpleurally after thoracotomy was investigated in a randomized placebo and intravenous controlled study. ⋯ It is concluded that total fentanyl consumption via PCA decreased in all interpleural groups, but pain during coughing and deep breathing was significantly reduced in only the interpleural bupivacaine/fentanyl with epinephrine group.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialProspective randomized trial of ketorolac after congenital heart surgery.
Ketorolac is a potent nonsteroidal analgesic agent used to treat postoperative pain. It produces excellent analgesia without the sedating side effects of opioid analgesics. Routine use of ketorolac after cardiac surgery is limited by concerns of bleeding complications. The purpose of this study was to evaluate the risk of bleeding complications of ketorolac for treatment of pain after congenital heart surgery in infants and children. ⋯ Ketorolac can be used to treat pain after congenital heart surgery without an increased risk of bleeding complications.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Comparative StudyIntraoperative fluid management during orthotopic liver transplantation.
To assess clinical safety of a low central venous pressure (CVP) fluid management strategy in patients undergoing liver transplantation. ⋯ Despite success in lowering blood transfusion requirements in liver resection patients, a low CVP should be avoided in patients undergoing liver transplantation.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Comparative StudyPredictors of inotrope use during separation from cardiopulmonary bypass.
To identify the demographic, clinical, and echocardiographic features that predict the use of inotropic support at separation from cardiopulmonary bypass (CPB). ⋯ Incorporating data from a comprehensive intraoperative TEE examination, the authors identified 6 reproducible factors that independently predict the use of inotropic support at separation from CPB.