Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2002
Randomized Controlled Trial Comparative Study Clinical TrialPostoperative pulmonary function in coronary artery bypass graft surgery patients undergoing early tracheal extubation: a comparison between short-term mechanical ventilation and early extubation.
To evaluate the effect of a short period of mechanical ventilation (3 hours) versus immediate extubation (within 1 hour of surgery) on pulmonary function, gas exchange, and pulmonary complications after coronary artery bypass graft (CABG) surgery. ⋯ The data suggest that extending mechanical ventilation after CABG surgery does not affect pulmonary function. Provided that routine extubation criteria are met, patients can be safely extubated early (within 1 hour) after major cardiac surgery without concerns of further pulmonary derangement.
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J. Cardiothorac. Vasc. Anesth. · Feb 2002
Randomized Controlled Trial Clinical TrialEpidural anesthesia and analgesia: effects on recovery from cardiac surgery.
To measure predefined clinical effects resulting from the use of epidural anesthesia and analgesia during and after cardiac surgery. ⋯ The clinical course of elective cardiac surgical patients who receive epidural anesthesia during surgery and epidural analgesia after surgery is comparable to that of patients managed with general anesthesia alone during surgery followed by parenteral opiate analgesia after surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2002
Randomized Controlled Trial Clinical TrialTo ventilate or not after minimally invasive direct coronary artery bypass surgery: the role of epidural anesthesia.
To evaluate the effect of immediate postoperative extubation and postoperative ventilation after minimally invasive direct coronary artery bypass (MIDCAB) surgery and to assess the role of epidural anesthesia. ⋯ Immediate postoperative extubation in patients with thoracic epidural anesthesia and supplemental general anesthesia provides the most favorable clinical circumstances after MIDCAB surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2002
Clinical TrialMilrinone increases middle cerebral artery blood flow velocity after cardiopulmonary bypass.
To evaluate the effects of milrinone on middle cerebral artery blood flow velocity (Vmca) and pulsatility index (PI) during normocapnia and hyperventilation in adults after cardiopulmonary bypass (CPB). ⋯ The administration of milrinone increases cerebral blood flow after CPB most likely as a result of cerebral vasodilation. The response to hyperventilation seems to be partially preserved.