Parasternal block and local anesthetic infiltration with levobupivacaine after cardiac surgery with desflurane: The effect on postoperative pain, pulmonary function, and tracheal extubation times

Anesthesia and Analgesia

Volumn 100, Issue 1, 2005, Pages 25-32

  McDonald, Susan B ^a   Jacobsohn, Eric ^b   Kopacz, Dan J ^a   Desphande, Seema ^b   Helman, James D ^a   Salinas, Francis ^a   Hall, R Alan ^a  

^a VIRGINIA MASON MEDICAL CENTER   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; DESFLURANE; LEVOBUPIVACAINE; OPIATE;

ADULT; AGED; ANALGESIA; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BLOOD OXYGENATION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG BLOOD LEVEL; DRUG EFFECT; ENDOTRACHEAL INTUBATION; EXTUBATION; EXTUBATION TIME; FEMALE; HEART SURGERY; HUMAN; LOCAL ANESTHESIA; LUNG FUNCTION; MALE; NERVE BLOCK; PAIN; PARASTERNAL BLOCK; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; REGIONAL ANESTHESIA; STATISTICAL SIGNIFICANCE; STERNAL WIRE; STERNOTOMY; TRACHEAL EXTUBATION; WIRE FIXATION;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; BUPIVACAINE; CARDIAC SURGICAL PROCEDURES; DOUBLE-BLIND METHOD; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; MORPHINE; NERVE BLOCK; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; RESPIRATORY FUNCTION TESTS;

EID: 10944265059     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000139652.84897.BD     Document Type: Article

References (19)

1. Lee T, Jacobsohn E. Pro: extubation in the operating room should become the standard of care after cardiac surgery. J Cardiothorac Vasc Anesth 2000;14:603-9.
2. Cheng DC, Wall C, Djaiani G, et al. Randomized assessment of resource use in fast-track cardiac surgery 1-year after hospital discharge. Anesthesiology 2003;98:651-7.
3. Cheng DC, Karski J, Peniston C, et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: a prospective, randomized, controlled trial. Anesthesiology 1996;85:1300-10.
4. Silbert BS, Santamaria JD, Kelly WJ, et al. The Fast Track Cardiac Care Team: early extubation after cardiac surgery-emotional status in the early postoperative period. J Cardiothorac Vasc Anesth 2001;15:439-44.
5. Johnson D, Thomson D, Mycyk T, et al. Respiratory outcomes with early extubation after coronary artery bypass surgery. J Cardiothorac Vasc Anesth 1997;11:474-80.
6. Cheng DCH, Karski J, Peniston C, et al. Morbidity outcome in early versus conventional tracheal extubation following coronary artery bypass graft (CABG) surgery: a prospective randomized controlled trial. J Thorac Cardiovasc Surg 1996;112:755-64.
7. Lee TW, Grocott HP, Schwinn D, et al. High spinal anesthesia for cardiac surgery: effects on beta-adrenergic receptor function, stress response, and hemodynamics. Anesthesiology 2003;98:499-510.
8. Fillinger MP, Yeager MP, Dodds TM, et al. Epidural anesthesia and analgesia: effects on recovery from cardiac surgery. J Cardiothorac Vasc Anesth 2002;16:15-20.
9. Ho AM, Chung DC, Joynt GM. Neuraxial blockade and hematoma in cardiac surgery: estimating the risk of a rare adverse event that has not (yet) occurred. Chest 2000;117:551-5.
10. Liu SS, Mulroy MF. Neuraxial anesthesia and analgesia in the presence of standard heparin. Reg Anesth Pain Med 1998;23:157-63.
11. Urmey WF, Rowlingson J. Do antiplatelet agents contribute to the development of perioperative spinal hematoma? Reg Anesth Pain Med 1998;23:146-51.
12. Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 1992;40:922-35.
13. Mets B, Reich NT, Mellas N, et al. Desflurane pharmacokinetics during cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2001;15:179-82.
14. Lockwood GG, Sapsed-Byrne SM, Adams S. A comparison of anaesthetic tensions in arterial blood and oxygenator exhaust gas during cardiopulmonary bypass. Anaesthesia 1999;54:434-6.
15. Valley RD, Freid EB, Bailey AG, et al. Tracheal extubation of deeply anesthetized pediatric patients: a comparison of desflurane and sevoflurane. Anesth Analg 2003;96:1320-4.
16. Kopacz DJ, Allen HW, Thompson GE. A comparison of epidurallevobupivacaine 0.75% with racemic bupivacaine for lower abdominal surgery. Anesth Analg 2000;90:642-8.
17. Kopacz DJ, Helman JD, Nussbaum CE, et al. A comparison of epidural levobupivacaine 0.5% with or without epinephrine for lumbar spine surgery. Anesth Analg 2001;93:755-60.
18. Groban L. Central nervous system and cardiac effects from long-acting amide local anesthetic toxicity in the intact animal model. Reg Anesth Pain Med 2003;28:3-11.
19. Bardsley H, Gristwood R, Baker H, et al. A comparison of the cardiovascular effects of levobupivacaine and rac-bupivacaine following intravenous administration to healthy volunteers. Br J Clin Pharmacol 1998;46:245-9.