Current management of patients after cardiopulmonary bypass

Abstract

SummaryThe postoperative management of cardiac surgical patients is reviewed with particular rqference to some of the recent advances and current controversies. i t is emphasised that there has been CI marked decrease in the incidence of many qf the mujor problems associated M.ith car~iiopulmonary bypass and that, in the majority of cases, cardiac surgery is now N routine procvdure associated with a very 1 0~1 morbidity und rnor tdity .

Cardiovascular Actions of Trimetaphan Nitroprusside. Comparison with Sodium Nitroprusside in Greyhounds

“…These compensatory mechanisms are usually undesirable in patients receiving either critical care or anaesthesia. The addition of betaadrenoceptor blocking drugs may resolve this problem, but they are not short-acting and may compromise cardiac output and induce bronchospasm [12]. As an alternative to SNP, trimetaphan has a slower onset of effect, but the advantage of inhibiting sympathetic activation [5].…”