Comparison of three anesthetic techniques for off-pump coronary artery bypass grafting: General anesthesia, combined general and high thoracic epidural anesthesia, or high thoracic epidural anesthesia alone

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 19, Issue 1, 2005, Pages 32-39

  Kessler, Paul ^a   Aybek, Tayfun ^b   Neidhart, Gerd ^a   Dogan, Selami ^b   Lischke, Volker ^a   Bremerich, Dorothee H ^a   Byhahn, Christian ^a  

^a UNIVERSITY HOSPITAL FRANKFURT   (Germany)

^b GOETHE UNIVERSITY MEDICAL SCHOOL   (Germany)

Author keywords

Conscious patients; Off pump coronary bypass surgery; Thoracic epidural anesthesia

Indexed keywords

CISATRACURIUM; PROPOFOL; REMIFENTANIL; ROPIVACAINE; SUFENTANIL;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CORONARY ARTERY RECANALIZATION; FEMALE; GENERAL ANESTHESIA; HEART FUNCTION; HEART LEFT VENTRICLE PERFORMANCE; HUMAN; INTERMETHOD COMPARISON; INTUBATION; MAJOR CLINICAL STUDY; MALE; NERVE PARALYSIS; OFF PUMP CORONARY SURGERY; PATIENT SATISFACTION; PHRENIC NERVE; PNEUMOTHORAX; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCORING SYSTEM; STATISTICAL SIGNIFICANCE; THORAX EPIDURAL ANESTHESIA; UNIVERSITY HOSPITAL;

EID: 13844275236     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2004.11.006     Document Type: Article

References (26)

1. S. Goldstein, D. Dean, S.J. Kim A survey of spinal and epidural techniques in adult cardiac surgery J Cardiothorac Vasc Anesth 15 2001 158 168
2. S. Blomberg, H. Emanuelsson, H. Kvist Effects of thoracic epidural anesthesia on coronary arteries and arterioles in patients with coronary artery disease Anesthesiology 73 1990 840 847
3. K. Kirno, P. Friberg, A. Grzegorczyk Thoracic epidural anesthesia during coronary artery bypass surgery Effects on cardiac sympathetic activity, myocardial blood flow and metabolism, and central hemodynamics Anesth Analg 79 1994 1075 1081
4. T.H. Liem, L.H. Booij, M.A. Hasenbos Coronary artery bypass grafting using two different anesthetic techniques: Part 1: Hemodynamic results J Cardiothorac Vasc Anesth 6 1992 148 155
5. H.M. Loick, C. Schmidt, H. Van Aken High thoracic epidural anesthesia, but not clonidine, attenuates the perioperative stress response via sympatholysis and reduces the release of troponin T in patients undergoing coronary artery bypass grafting Anesth Analg 88 1999 701 709
6. N.B. Scott, D.J. Turfrey, D.A. Ray A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting Anesth Analg 93 2001 528 535
7. R. Stenseth, L. Bjella, E.M. Berg Effects of thoracic epidural analgesia on pulmonary function after coronary artery bypass surgery Eur J Cardiothorac Surg 10 1996 859 865
8. A. Tenling, P.O. Joachimsson, H. Tyden Thoracic epidural anesthesia as an adjunct to general anesthesia for cardiac surgery Effects on ventilation-perfusion relationships J Cardiothorac Vasc Anesth 13 1999 258 264
9. H.Y. Karagoz, B. Sönmez, B. Bakkaloglu Coronary artery bypass grafting in the conscious patient without endotracheal general anesthesia Ann Thorac Surg 70 2000 91 96
10. P. Kessler, G. Neidhart, D.H. Bremerich High thoracic epidural anesthesia for coronary artery bypass grafting using two different surgical approaches in conscious patients Anesth Analg 95 2002 791 797
11. M. Chakravarthy, V. Jawali, T.A. Patil High thoracic epidural anesthesia as the sole anesthetic for performing multiple grafts in off-pump coronary artery bypass surgery J Cardiothorac Vasc Anesth 17 2003 160 164
12. T. Aybek, P. Kessler, M.F. Khan Operative techniques in awake coronary artery bypass grafting J Thorac Cardiovasc Surg 125 2003 1394 1400
13. H.Y. Karagoz, M. Kurtoglu, B. Bakkaloglu Coronary artery bypass grafting in the awake patient Three years' experience in 137 cases J Thorac Cardiovasc Surg 125 2003 1401 1404
14. C.M. Mangano Risky business J Thorac Cardiovasc Surg 125 2003 1204 1207
15. F. Roques, S.A. Nashef, P. Michel Risk factors and outcome in European cardiac surgery Analysis of the EuroSCORE multinational database of 19030 patients Eur J Cardiothorac Surg 15 1999 816 822
16. E. Abd Elrazek, N.B. Scott, A. Vohra An epidural scoring scale for arm movements (ESSAM) in patients receiving high thoracic epidural analgesia for coronary artery bypass grafting Anaesthesia 54 1999 1104 1109
17. A.M. Ho, D.C. Chung, G.M. Joynt Neuraxial blockade and hematoma in cardiac surgery Estimating the risk of a rare adverse event that has not (yet) occurred Chest 117 2000 551 555
18. H. Renck Neurological complications of central nerve blocks Acta Anaesthesiol Scand 39 1995 859 868
19. D.A. Rosen, D.W. Hawkinberry II, K.R. Rosen An epidural hematoma in an adolescent patient after cardiac surgery Anesth Analg 98 2004 966 969
20. T. Ivert, R. Welti, S. Ekestrom Early mortality after 2,902 coronary artery bypass operations Scand J Thorac Cardiovasc Surg 23 1989 3 8
21. H.L. Lazar, C.A. Fitzgerald, T. Ahmad Early discharge after coronary artery bypass graft surgery Are patients really going home earlier? J Thorac Cardiovasc Surg 121 2001 943 950
22. F.R. Montes, S.I. Sanchez, J.C. Giraldo The lack of benefit of tracheal extubation in the operating room after coronary artery bypass surgery Anesth Analg 91 2000 776 780
23. M. Lass, A. Welz, M. Kochs Aprotinin in elective primary bypass surgery. Graft patency and clinical efficacy Eur J Cardiothorac Surg 9 1995 206 210
24. M.A. Chaney, R.A. Durazo-Arvizu, E.M. Fluder Port-access minimally invasive cardiac surgery increases surgical complexity, increases operating room time, and facilitates early postoperative hospital discharge Anesthesiology 92 2000 1637 1645
25. F.G. Resano, S.C. Stamou, R.C. Lowery Complete myocardial revascularization on the beating heart with epicardial stabilization Anesthetic considerations J Cardiothorac Vasc Anesth 14 2000 534 539
26. G.N. Djaiani, M. Ali, L. Heinrich Ultra-fast-track anesthetic technique facilitates operating room extubation in patients undergoing off-pump coronary revascularization surgery J Cardiothorac Vasc Anesth 15 2001 152 157