Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 1999
A multidisciplinary process to improve the efficiency of cardiac operating rooms.
To alter the approach to cardiac operating room services in an attempt to remain competitive in a cost-driven market. ⋯ Development of a working group, with support from the hospital administration, can significantly decrease the time of tasks in a cardiac surgery operating room without adversely affecting morbidity and mortality.
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J. Cardiothorac. Vasc. Anesth. · Oct 1999
Randomized Controlled Trial Comparative Study Clinical TrialRocuronium versus vecuronium during fentanyl induction in patients undergoing coronary artery surgery.
To evaluate the neuromuscular, ventilatory, and cardiovascular effects of rocuronium and vecuronium. ⋯ During narcotic induction of anesthesia, rocuronium was associated with lower requirement for vasopressors, faster onset of neuromuscular blockade, and better conditions for mask ventilation and tracheal intubation compared with vecuronium.
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J. Cardiothorac. Vasc. Anesth. · Oct 1999
Randomized Controlled Trial Clinical TrialIntrathecal morphine for coronary artery bypass graft procedure and early extubation revisited.
To determine the dose of intrathecal (IT) morphine (along with the intraoperative baseline anesthetic) that provides significant analgesia yet does not delay extubation in the immediate postoperative period in patients undergoing cardiac surgery and early extubation. ⋯ Even when used in conjunction with an intraoperative baseline anesthetic that allows early extubation, IT morphine (10 microg/kg) was unable to provide substantial postoperative analgesia. The risks of using IT morphine in patients undergoing cardiac surgery and early extubation may outweigh the potential benefits.