Routine Icu Admission Is Not Required After Cardiac Surgery

Jacobsohn, Eric; Debrouwere, Roland; Kenny, Sheila; Duke, Peter C.; Maguire, Duncan; Muirhead, Brian; Kowalski, Stephen; Enns, James; Hamilton, Gary; Goodman, Rachel; Roberts, Dan

doi:10.1097/00000539-199902001-00082

Cited by 3 publications

(2 citation statements)

References 0 publications

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“…Regional anesthesia for cardiac surgery is gaining in popularity, although it remains controversial. 5 We showed low-dose ITM analgesia (6 µg•kg -1 of ideal body weight) improves postoperative spirometry, without delaying extubation, and provides adequate postoperative analgesia with lower iv morphine use, when compared to control patients receiving general anesthesia alone.…”

Section: Discussionmentioning

confidence: 81%

Cardiothoracic Anesthesia, Respiration and Airway

Eric

Lee

Amadeo

et al. 2005

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 81%

Cardiothoracic Anesthesia, Respiration and Airway

Eric

Lee

Amadeo

et al. 2005

Can J Anesth/J Can Anesth

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“…There are no reports of randomized studies with safety and efficacy of ITS for fast-track MIDCAB, whereas it used for regular CABG and OPCAB in several centers. 49…”

Section: Intrathecal Opioidsmentioning

confidence: 99%

Anesthesia and Regional Anesthetic Techniques for Minimally Invasive Direct Coronary Artery Bypass Surgery

Ganapathy

Dobkowski

Murkin

et al. 2000

Semin Cardiothorac Vasc Anesth

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An innovative new approach to coronary revasculariza tion, minimally invasive direct coronary artery bypass is performed via a small anterior minithoracotomy or ministernotomy on a beating heart without the aid of cardiopulmonary bypass. Components of this tech nique, including thoracoscopic video-assisted harvest ing of the internal mammary artery, often with har monic scalpel and potentially even robotic assistance, necessitate prolonged one-lung ventilation. In the ab sence of cardioplegia, myocardial protection during normothermic beating heart surgery poses a challenge. Patient selection is important to avoid intraoperative and postoperative complications. Prolonged single- lung ventilation, incomplete revascularization in hybrid procedures, and limited access for rapid intervention pose challenges with patient management. Conversion to sternotomy may be required in 5% to 7% of patients, and extension of portals over several dermatomal seg ments mandate a versatile analgesic technique. Re gional anesthesia as analgesic adjuvant allows lighter levels of general anesthesia during surgery with mini mal intraoperative hemodynamic changes and a smooth transition to postoperative analgesia. Although a num ber of regional techniques may be used to achieve this goal, thoracic epidural analgesia or continuous percuta neous paravertebral block seem to offer specific advan tages of cardiac sympathectomy.

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Pro: Tracheal extubation should occur routinely in the operating room after cardiac surgery

Lee

Jacobsohn

2000

Journal of Cardiothoracic and Vascular Anesthesia

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Routine Icu Admission Is Not Required After Cardiac Surgery

Cited by 3 publications

References 0 publications

Cardiothoracic Anesthesia, Respiration and Airway

Cardiothoracic Anesthesia, Respiration and Airway

Anesthesia and Regional Anesthetic Techniques for Minimally Invasive Direct Coronary Artery Bypass Surgery

Pro: Tracheal extubation should occur routinely in the operating room after cardiac surgery

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