Closed-circuit isoflurane-based anesthesia provides better fast-tracking anesthesia than fentanyl/propofol-based anesthesia for off-pump coronary artery byspass graft surgery

Acta Anaesthesiologica Taiwanica

Volumn 45, Issue 3, 2007, Pages 135-139

  Chang, Fang Lin ^a   Lin, Shinn Long ^a   Tsai, Chien Song ^a   Yeh, Chun Chang ^a   Wu, Ching Tang ^a   Wong, Chih Shung ^a  

^a TRI SERVICE GENERAL HOSPITAL   (Taiwan)

Author keywords

Anesthesia; Closed circuit; Coronary artery bypass; Fast track; Off pump

Indexed keywords

DOPAMINE; FENTANYL; INOTROPIC AGENT; ISOFLURANE; MIDAZOLAM; OXYGEN; PANCURONIUM; PROPOFOL;

ADULT; AGED; ANESTHESIA INDUCTION; ANESTHETIC RECOVERY; ARTICLE; ASSISTED VENTILATION; BLOOD; CLINICAL ARTICLE; CONTROLLED STUDY; DRUG DOSE INCREASE; DRUG DOSE TITRATION; ENDOTRACHEAL INTUBATION; ENVIRONMENTAL TEMPERATURE; EXTUBATION; FEMALE; FLOW RATE; HUMAN; HYPOTENSION; INHALATION ANESTHESIA; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; LENGTH OF STAY; MALE; MEAN ARTERIAL PRESSURE; MUSCLE RELAXATION; OFF PUMP CORONARY SURGERY; VAPORIZER; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; INTRAVENOUS ANESTHESIA; METHODOLOGY; MIDDLE AGED; RANDOMIZED CONTROLLED TRIAL;

AGED; ANESTHESIA, CLOSED-CIRCUIT; ANESTHESIA, INTRAVENOUS; CORONARY ARTERY BYPASS, OFF-PUMP; FEMALE; FENTANYL; HUMANS; ISOFLURANE; MALE; MIDDLE AGED; PROPOFOL;

EID: 38449114140     PISSN: 02541319     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Stanley TH, Webster LR: Anesthetic requirements and cardiovascular effects of fentanyl-oxygen and fentanyl-diazepam-oxygen anesthesia in man. Anesth Analg 57:411-416, 1978.
2. Warltier DC, Kersten JR, Pagel PS, Gross GJ: Editorial view: Anesthetic preconditioning: Serendipity and science. Anesthesiology 97:1-3, 2002.
3. Kersten JR, Schmeling TJ, Pagel PS, Gross GJ: Isoflurane mimics ischemic preconditioning via activation of K (ATP) channels: Reduction of myocardial infarct size with an acute memory phase. Anesthesiology 87:361-370, 1997.
4. Cheng DC, Karski J, Peniston C, Asokumar B, Raveendran G, Carroll J, Nierenberg H, Roger S, Mickle D, Tong J, Zelovitsky J, David T, Sandler A: Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: A prospective randomized, controlled trial. J Thorac Cardiovasc Surg 112:755-764, 1996.
5. Cheng DC, Karski J, Peniston C, Raveendran G, Asokumar B, Carroll J, David T, Sandler A: Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: A prospective, randomized, controlled trial. Anesthesiology 85:1300-1310, 1996.
6. Lin CY: Nitrous oxide uptake in man: A new concept of uptake of inhalation anesthetics. Acta Anesth Sin 42:127-134, 2004.
7. Yeh CC, Kong SS, Huang GS, Ho ST, Wu CT, Wong CS: Closed-circuit anesthesia prolongs the neuromuscular blockade of rocuronium. Acta Anesth Sin 41:55-60, 2003.
8. Lu CC, Ho ST, Wong JJ, Wang JO, Wong CS, Tsai CS, Chang SY: Minimal low-flow isoflurane-based anesthesia benefits patients undergoing coronary revascularization via preventing hyperglycemia and maintaining metabolic homeostasis. Acta Anesth Sin 41:165-172, 2003.
9. Myles PS, Buckland MR, Weeks AM, Tsai CS, Chang SY, Lin CY: Hemodynamic effects, myocardial ischemia, and timing of tracheal extubation with propofol-based anesthesia for cardiac surgery. Anesth Analg 84:12-19, 1997.
10. Lin CY: Closed-circuit anesthesia - From anesthesia based on experience to anesthesia on a scientific basis. In: What is best way to provide closed-circuit anesthesia. Taipei: NDMC, P3-4, 1999.
11. Derbyshire DR, Smith G: Sympathoadrenal response to anesthesia and surgery. Br J Anaesth 56:725-739, 1984.
12. Joachimsson PO, Nystrom SO, Tyden H: Early extubation after coronary artery surgery in efficiently rewarmed patients: A postoperative comparison of opioid anesthesia versus inhalational anesthesia and thoracic epidural analgesia. J Cardiothoracic Anesth 3:444-454, 1989.
13. Hilgenberg JC: Intraoperative awareness during high-dose fentanyl-oxygen anesthesia. Anesthesiology 54:341-343, 1981.
14. Shapiro BA, Lichtenthal PR: Inhalation-based anesthetic techniques are the key to early extubation of the cardiac surgical patient. J Cardiothorac Vasc Anesth 7:135-136, 1993.
15. Streisand JB, Wong KC: Anesthesia for coronary artery bypass graft. Br J Anaesth 61:97-104, 1988.