Coronary artery bypass grafting using two different anesthetic techniques: Part I: Hemodynamic results

Liem, Tiong H.; Booij, L.H.D.J.; Hasenbos, M.A.W.M.; Gielen, M.J.M.

doi:10.1016/1053-0770(92)90189-e

Cited by 115 publications

(26 citation statements)

References 36 publications

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“…There is evidence to indicate improved myocardial oxygen supply and hemodynamic stability due to perioperative sympatholysis, 13 and a recent metaanalysis by Liu et al 14 assessed the effects of perioperative TEA on outcome after CABG surgery. The incidence of mortality or myocardial infarction were not affected, and TEA produced reduced risks of pulmonary complications and atrial fibrillation, reduced time to tracheal extubation, and reduced pain scores.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Thoracic Epidural Analgesia on the Occurrence of Late Postoperative Hypoxemia in Patients Undergoing Elective Coronary Bypass Surgery

Lundstrøm

Nygård

Hviid

et al. 2005

Chest

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Section: Discussionmentioning

confidence: 99%

The Effect of Thoracic Epidural Analgesia on the Occurrence of Late Postoperative Hypoxemia in Patients Undergoing Elective Coronary Bypass Surgery

Lundstrøm

Nygård

Hviid

et al. 2005

Chest

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“…Joachimsson et al (24) and Liem et al (25) inserted a thoracic epidural catheter 20-24 h before cardiopulmonary bypass in 16 and 27 patients, respectively, with no complications. To our knowledge, the "safe" time range has not been completely studied.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Epidural Anesthesia During Coronary Artery Bypass Surgery

Kirn??

Friberg

et al. 1994

Anesthesia & Analgesia

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“…Für die TEA konnten benefizielle Effekte bei Patienten mit KHK gezeigt werden, da die hochthorakale Sympathikolyse mit einer Verbesserung der Koronarperfusion insbesondere in nichtstenosierten Kollateralkreisläufen einherging, zu einer Senkung der Herzfrequenz und einer verminderten endogenen Stressantwort führt. Darüber hinaus verbessert die TEA die hämodynamische Stabilität und die postoperative pulmonale Funktion nach Eingriffen zur operativen Koronarrevaskularisation [9,38,41,43,64,68,69,71].…”

Section: Thorakale Epiduralanästhesieunclassified

Koronare Bypasschirurgie am wachen Patienten

Byhahn

Meininger²,

Kessler³

2008

Anaesthesist

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Patients undergoing coronary artery bypass grafting increasingly show severe co-morbidities, which can negatively affect the outcome. Recent developments in cardiac surgery have therefore focused on minimizing the invasiveness of the procedure by revascularization on the beating heart without cardiopulmonary bypass, and by reducing surgical trauma using smaller surgical incisions. Progress in minimally invasive cardiac surgery has led to minimally invasive anesthesia, i.e. using high thoracic epidural anesthesia as the sole technique in the conscious patient (awake coronary artery bypass grafting, ACAB). Published data on ACAB procedures in smaller cohorts have demonstrated that the procedure is safe. Significant complications occurred in 7.1% of patients. A particular cause of concern during ACAB surgery is the development of spinal epidural hematoma the risk of which has been estimated to be as high as 1:1,000. A thorough risk-benefit analysis has therefore to be made. Currently, ACAB surgery remains limited to few specialized centers and highly selected patients.

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Coronary artery bypass grafting using two different anesthetic techniques: Part I: Hemodynamic results

Cited by 115 publications

References 36 publications

The Effect of Thoracic Epidural Analgesia on the Occurrence of Late Postoperative Hypoxemia in Patients Undergoing Elective Coronary Bypass Surgery

The Effect of Thoracic Epidural Analgesia on the Occurrence of Late Postoperative Hypoxemia in Patients Undergoing Elective Coronary Bypass Surgery

Thoracic Epidural Anesthesia During Coronary Artery Bypass Surgery

Koronare Bypasschirurgie am wachen Patienten

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