High thoracic epidural with general anesthesia for combined off-pump coronary artery and aortic aneurysm surgery

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 17, Issue 2, 2003, Pages 226-229

  Vlachtsis, Helen ^b   Vohra, Akbar ^a  

^a MANCHESTER ROYAL INFIRMARY   (United Kingdom)

^b NONE

Author keywords

Aneurysm; Aortic surgery; Cardiac surgery; Epidural; Regional anesthesia

Indexed keywords

ACETYLSALICYLIC ACID; AMIODARONE; ATENOLOL; ATRACURIUM; BISOPROLOL; BUPIVACAINE; DOPAMINE; FENTANYL; GLYCERYL TRINITRATE; HEPARIN; ISOSORBIDE MONONITRATE; METOCLOPRAMIDE; METOPROLOL; NICARDIPINE; NIZATIDINE; OXYGEN; PROPOFOL; PROTAMINE; SIMVASTATIN; SUCRALFATE; TEMAZEPAM;

ABDOMINAL AORTA; ADULT; AGED; ANEURYSM RUPTURE; ANEURYSM SURGERY; ANGINA PECTORIS; AORTA ANEURYSM; ARTICLE; CARDIOPULMONARY BYPASS; CASE REPORT; CLINICAL FEATURE; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; DYSPNEA; GENERAL ANESTHESIA; HEART INFARCTION; HUMAN; MALE; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; SYMPTOM; TACHYCARDIA; THORAX EPIDURAL ANESTHESIA;

EID: 0345352756     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/jcan.2003.52     Document Type: Article

References (15)

1. Branchereau A, Nazet J, Colvalope JC, et al: Combined mortality and morbidity of direct surgical treatment of abdominal aortic aneurysm. Ann Vasc Surg 4:10-14, 1990
2. Bergersen L, Kiernan MS, McFarlane G, et al: Prevalence of abdominal aortic aneuryss in patients undergoing coronary artery bypass. Ann Vasc Surg 12:101-105, 1998
3. Blackbourne LH, Tribble CG, Langenburg SE, et al: Optimal timing of abdominal aortic aneurysm repair after coronary artery revascularization. Ann Surg 219:693-696, 1994
4. King RC, Parrino PE, Hurst JL, et al: Simultaneous coronary artery bypass grafting and abdominal aneurysm repair decreases stay and costs. Ann Thorac Surg 66:1273-1276, 1998
5. Turner WF Jr: "Off-pump" coronary artery bypass grafting: The first one hundred cases of the Rose City experience. Ann Thorac Surg 68:1482-1485, 1999
6. Spooner TH, Hart JC, Pym J: A two-year, three-institution experience with the Medtronic Octopus: Systematic off-pump surgery. Ann Thorac Surg 68:1478-1481, 1999
7. Ascione R, Iannelli G, Spampinato N: Combined coronary artery and abdominal aortic surgery without cardiopulmonary bypass. Texas Heart Inst J 27:19-23, 2000
8. O'Connor CJ, Tuman KJ: Epidural anesthesia and analgesia for coronary artery bypass graft surgery: Still forbidden territory? Anesth Analg 93:523-525, 2001
9. George KA, Chisakuta KA, Gamble JAS, et al: Thoracic epidural infusion for postoperative pain relief following abdominal aortic surgery: Bupivacaine, fentanyl or a mixture of both? Anaesthesia 47:388-394, 1992
10. Slade JM: Epidural bupivacaine for aortic surgery. The effect of dilution on quality of analgesia. Anaesthesia 49:21-24, 1994
11. Reiz S, Nath S, Ponten E, et al: Effects of thoracic epidural block and the beta-1-adrenoreceptor agonist prenalterol on the cardiovascular response to infrarenal cross-clamping in man. Acta Anaeth Scand 23:395-403, 1979
12. Abd Elrazek E, Scott N B, Vohra A. An epidural scoring scale for arm movements (ESSAM) in patients receiving high thoracic epidural analgesia for coronary artery bypass grafting. Anaesthesia 54:1097-1109, 1999
13. Sanchez R, Nygard E: Epidural anesthesia in cardiac surgery: Is there an increased risk? J Cardiothorac Vasc Anesth 12:170-173, 1998
14. Loick HM, Schmidt C, Van Aken H, et al: High thoracic epidural anesthesia, but not clonidine, attenuates the perioperative stress response and release of troponin T in patients undergoing coronary artery bypass grafting. Anesth Analg 88:701-709, 1999
15. Ruff RL, Dougherty JH: Complications of lumbar puncture followed by anticoagulation. Stroke 12:879-881, 1981