Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2000
Randomized Controlled Trial Comparative Study Clinical TrialSevoflurane-fentanyl versus etomidate-fentanyl for anesthetic induction in coronary artery bypass graft surgery patients.
To compare the hemodynamic effects of sevoflurane-fentanyl with etomidate-fentanyl during anesthetic induction in patients with coronary artery disease with good left ventricular function. ⋯ Sevoflurane inhalation induction produced minimal changes in cardiac index and no airway complications in patients with coronary artery disease with good left ventricular function. Induction was faster with etomidate, however, and blood pressure remained higher.
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J. Cardiothorac. Vasc. Anesth. · Aug 2000
Randomized Controlled Trial Comparative Study Clinical TrialRetrograde crystalloid cardioplegia preserves left ventricular systolic function better than antegrade cardioplegia in patients with occluded coronary arteries.
To investigate retrograde and antegrade crystalloid cardioplegia in terms of cardiac cooling and postoperative cardiac function. ⋯ Retrograde cardioplegia provides more homogenous myocardial cooling than antegrade cardioplegia in hearts with coronary artery occlusions. The use of retrograde cardioplegia seems to benefit long-term left ventricular function.
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J. Cardiothorac. Vasc. Anesth. · Aug 2000
Randomized Controlled Trial Comparative Study Clinical TrialComparison of two different anesthesia regimens in patients undergoing aortocoronary bypass grafting surgery: sufentanil-midazolam versus remifentanil-propofol.
To compare intraoperative hemodynamics and depth of anesthesia using sufentanil-midazolam (SM) versus remifentanil-propofol (RP) anesthesia. ⋯ Both anesthesia regimens provided stable hemodynamics and adequate anesthesia in patients undergoing coronary artery bypass graft surgery.
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J. Cardiothorac. Vasc. Anesth. · Aug 2000
Randomized Controlled Trial Clinical TrialTotal intravenous anesthesia with a propofol-ketamine combination during coronary artery surgery.
To evaluate the cardiovascular effects of a propofol-ketamine combination in patients undergoing coronary artery surgery. ⋯ The propofol-ketamine combination was associated with a similar incidence of pre-CPB hypotension and ischemia, a decreased need for inotropes after CPB, an earlier time to tracheal extubation, and a reduced incidence of myocardial infarctions compared with controls.
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J. Cardiothorac. Vasc. Anesth. · Aug 2000
Respiratory jugular venodilation: its anatomic rationale as a landmark for right internal jugular vein puncture as determined by ultrasonography.
To reveal anatomic factors that determine the visibility of respiratory jugular venodilation, a landmark for right internal jugular vein puncture, in ventilated patients. ⋯ The visibility of respiratory jugular venodilation does not correlate with the vein size but with the extent of its dynamic change during a respiratory cycle.