Thoracic epidural anaesthesia for coronary artery bypass graft surgery. Effects on postoperative complications

Anaesthesia

Volumn 52, Issue 11, 1997, Pages 1090-1095

  Turfrey, D J ^a   Ray, D A A ^a   Sutcliffe, N P ^a   Ramayya, P ^a   Kenny, G N C ^b   Scott, N B ^a  

^a HCI International Medical Centre   (United Kingdom)

^b GLASGOW ROYAL INFIRMARY   (United Kingdom)

Author keywords

Anaesthetic techniques, regional; epidural, thoracic; Complications; postoperative; Surgery; coronary artery bypass grafts

Indexed keywords

ALFENTANIL; BUPIVACAINE; CLONIDINE; INTRAVENOUS ANESTHETIC AGENT; MORPHINE; PROPOFOL;

ADULT; AGED; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; EXTUBATION; FEMALE; HEART ARRHYTHMIA; HUMAN; INTRAVENOUS ANESTHESIA; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MALE; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; POSTOPERATIVE COMPLICATION; RESPIRATORY TRACT DISEASE; RETROSPECTIVE STUDY; THORACIC SPINE;

ADULT; AGED; ANESTHESIA, EPIDURAL; ANESTHESIA, GENERAL; ANESTHETICS, COMBINED; ARRHYTHMIA; CORONARY ARTERY BYPASS; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDIES;

EID: 0030700550     PISSN: 00032409     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2044.1997.260-az0397.x     Document Type: Article

References (23)

1. Desborough JP. Thoracic epidural analgesia in cardiac surgery. Anaesthesia 1996; 51: 805-7.
2. Liem TH, Hasenbos MA, Booij LH, Gielen MJ. Coronary artery bypass grafting using two different anaesthetic techniques. Part II. Postoperative outcome. Journal of Cardiothoracic and Vascular Anesthesia 1992; 6: 156-61.
3. Swenson JD, Hullander RM, Wingler K, Leivers D. Early extubation after cardiac surgery using combined intrathecal sufentanil and morphine. Journal of Cardiothoracic and Vascular Anesthesia 1994; 8: 509-14.
4. Kock M, Blomberg S, Emanuelsson H, Lomsky M, Stromblad SO, Ricksten SE. Thoracic epidural anesthesia improves global and regional left ventricular function during stress - induced myocardial ischaemia in patients with coronary artery disease. Anesthesia and Analgesia 1990; 71: 625-30.
5. Moore CM, Cross MH, Desborough JP, Burrin JM, Macdonald IA, Hall GM, Hormonal effects of thoracic extradural analgesia for cardiac surgery. British Journal of Anaesthesia 1995; 75: 387-93.
6. Liem TH, Booij LH, Hasenbos MA, Gielen MJ. Coronary artery bypass grafting using two different anesthetic techniques: Part I. Hemodynamic results. Journal of Cardiothoracic and Vascular Anesthesia 1992; 6: 148-55.
7. Stenseth R, Berg EM, Bjella L, Christensen O, Levang OW, Gisvold SE. Effects of thoracic epidural analgesia on coronary haemodynamics and myocardial metabolism in coronary artery bypass surgery. Journal of Cardiothoracic and Vascular Anesthesia 1995; 9: 503-9.
8. Stenseth R, Bjella EM, Christensen O, Levang OW, Gisvold SE. Thoracic epidural analgesia in aortocoronary bypass surgery I. Haemodynamic effects. Acta Anaesthesiologica Scandinavica 1994; 38: 826-33.
9. Liem TH, Booij LHDJ, Gielen MJM, Hasenbos MAWM, Van Egmond J. Coronary artery bypass grafting using two different anesthetic techniques: Part 3: Adrenergic responses. Journal of Cardiothoracic and Vascular Anesthesia 1992; 6: 162-7.
10. Toft P, Jorgensen A. Continuous thoracic epidural analgesia for the control of pain in myocardial infarction. Intensive Care Medicine 1987; 13: 388-9.
11. Blomberg S, Curelaru I, Emanuelsson H. Thoracic epidural anaesthesia in patients with unstable angina pectoris. European Heart Journal 1989; 10: 437-44.
12. Blomberg S, Emanuelsson H, Kvist H. Effects of thoracic epidural anaesthesia on coronary arteries and arterioles in patients with coronary artery disease. Anesthesiology 1990; 73: 840-7.
13. Davis RF, Deboer LWV, Maroko PR. Thoracic Epidural Anesthesia reduces myocardial infarct size after coronary artery occlusion in dogs. Anesthesia and Analgesia 1986; 65: 711-7.
14. Stenseth R, Bjella L, Berg EM, Christensen O, Levang OW, Gisvold SE. Thoracic epidural analgesia in aortocoronary bypass surgery II. Effects on the endocrine metabolic response. Acta Anesthesiologica Scandinavica 1994; 38: 834-9.
15. Joachimsson PO, Nystrom SO, Tyden H, Early extubation after coronary artery surgery in efficiently rewarmed patients: a postoperative comparison of opioid anesthesia versus inhalational anaesthesia and thoracic epidural analgesia. Journal of Cardiothoracic and Vascular Anesthesia 1989; 3: 444-54.
16. Hasenbos M, Van Egmond J, Gielen M. Postoperative analgesia by epidural versus intramuscular nicomorphine after thoracotomy. Part I and II. Acta Anaesthesiologica Scandinavica 1985; 29: 572-82.
17. Rosenfeld BA, Beattie C, Christopherson R, et al. The effects of different anesthetic regimens on postoperative arterial thrombosis. Anesthesiology 1993; 79: 435-43.
18. Kirno K, Friberg P, Grzegorczyk A, Milocco I, Ricksten S-E, Lundin S. Thoracic epidural anesthesia during coronary artery bypass surgery: effects on cardiac sympathetic activity, myocardial blood flow and metabolism and central hemodynamics. Anesthesia and Analgesia 1994; 79: 1075-81.
19. El-Baz N, Goldin M. Continuous epidural infusion of morphine for pain relief after cardiac operations. Journal of Cardiothoracic and Vascular Surgery 1987; 93: 878-83.
20. Odoom JA, Sih IL. Epidural analgesia and anticoagulant therapy. Experience with one thousand cases of continuous epidurals. Anaesthesia 1983; 38: 254-9.
21. Sage DJ. Epidurals, spinals and bleeding disorders in pregnancy: a review. Anaesthesia and Intensive Care 1990; 18: 319-26.
22. Kehlet H. General versus regional anaesthesia. In: Rogers MC, Tinker JH, Covino BG, Longnecker DE, eds. Principles and Practice of Anesthesiology, Vol. 2. London: Mosby Year Book Inc., 1992.
23. Scott NB. The effects of pain and its treatment. In: McClure JH, Wildsmith JAW, eds. Conduction Blockade for Postoperative Analgesia. London: Edward Arnold, 1991.