Epidural anesthesia and postoperative analgesia with ropivacaine and fentanyl in off-pump coronary artery bypass grafting: A randomized, controlled study

BMC Anesthesiology

Volumn 11, Issue , 2011, Pages

  Kirov, Mikhail Y ^a,b,c,d   Eremeev, Alexey V ^b   Smetkin, Alexey A ^a,b   Bjertnaes, Lars J ^c,d  

^a NORTHERN STATE MEDICAL UNIVERSITY   (Russian Federation)

^b City Hospital # 1   (Russian Federation)

^c UNIVERSITY OF TROMSØ   (Norway)

^d UNIVERSITY HOSPITAL OF NORTH NORWAY   (Norway)

Author keywords

Analgesia; Epidural anesthesia; Off pump coronary artery bypass grafting; Patient controlled analgesia

Indexed keywords

FENTANYL; GLYCERYL TRINITRATE; HYPERTENSIVE FACTOR; PROPOFOL; ROPIVACAINE;

ADULT; ARTERIAL PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; BLOOD GAS; COLLOID; CONTINUOUS INFUSION; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; FEMALE; HEART EJECTION FRACTION; HEMODYNAMICS; HUMAN; LUNG EXTRAVASCULAR FLUID; MAJOR CLINICAL STUDY; MALE; OFF PUMP CORONARY SURGERY; PATIENT CONTROLLED ANALGESIA; PATIENT CONTROLLED EPIDURAL ANALGESIA; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TREATMENT DURATION; VISUAL ANALOG SCALE;

EID: 80052832493     PISSN: None     EISSN: 14712253     Source Type: Journal    
DOI: 10.1186/1471-2253-11-17     Document Type: Article

References (31)

1. Chassot PG, van der Linden P, Zaugg M, Mueller XM, Spahn DR. Off-pump coronary artery bypass surgery: physiology and anaesthetic management. Br J Anaesth 2004, 92:400-413. 10.1093/bja/aeh064, 14970136.
2. Ngaage DL. Off-pump coronary artery bypass grafting: simple concept but potentially sublime scientific value. Med Sci Monit 2004, 10:RA47-54.
3. Cheng DCH, Bainbridge D. Fast-track cardiac anesthesia management in on-pump and off-pump coronary artery bypass surgery. Perioperative Care in Cardiac Anesthesia and Surgery 2006, 59-108. Philadelphia: Lippincott Williams and Wilkins, Cheng DCH, David TE.
4. Scott BH, Seifert FC, Grimson R, Glass PS. Resource utilization in on- and off-pump coronary artery surgery: factors influencing postoperative length of stay: an experience of 1,746 consecutive patients undergoing fast-track cardiac anesthesia. J Cardiothorac Vasc Anesth 2005, 19:26-31. 10.1053/j.jvca.2004.11.005, 15747265.
5. Boldt J. Clinical review: Hemodynamic monitoring in the intensive care unit. Crit Care 2002, 6:52-59. 10.1186/cc1453, 137397, 11940266.
6. Ngaage DL. Off-pump coronary artery bypass grafting: the myth, the logic and the science. Eur J Cardiothor Surg 2003, 24:557-570.
7. Kessler P, Neidhart G, Lischke V, Bremerich DH, Aybek T, Dogan S, et al. Coronary bypass operation with complete median sternotomy in awake patients with high thoracic peridural anesthesia. Anaesthesist 2002, 51:533-538. 10.1007/s00101-002-0337-2, 12243038.
8. Nesković V, Milojević P. High thoracic epidural anesthesia in coronary surgery. Med Pregl 2003, 56:152-156. 10.2298/MPNS0304152N, 12899080.
9. The Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA) Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery. Eur J Anaesthesiol 2010, 27:92-137. The Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA).
10. Casalino S, Mangia F, Stelian E, Novelli E, Diena M, Tesler U. High thoracic epidural anesthesia in cardiac surgery. Risk factors for arterial hypotension. Tex Heart Inst J 2006, 33:148-153. 1524708, 16878616.
11. Salvi L, Parolari A, Veglia F, Brambillasca C, Gregu S, Sisillo E. High thoracic epidural anesthesia in coronary artery bypass surgery: a propensity-matched study. J Cardiothorac Vasc Anesth 2007, 21:810-815. 10.1053/j.jvca.2006.11.012, 18068057.
12. Scott NB, Turfrey DJ, Ray DA, Nzewi O, Sutcliffe NP, Lal AB, et al. A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting. Anesth Analg 2001, 93:528-535. 10.1097/00000539-200109000-00003, 11524314.
13. Sharma M, Mehta Y, Sawhney R, Vats M, Trehan N. Thoracic epidural analgesia in obese patients with body mass index of more than 30 kg/m2 for off pump coronary artery bypass surgery. Ann Card Anaesth 2010, 13:28-33. 10.4103/0971-9784.58831, 20075532.
14. Barrington MJ, Kluger R, Watson R, Scott DA, Harris KJ. Epidural anesthesia for coronary artery bypass surgery compared with general anesthesia alone does not reduce biochemical markers of myocardial damage. Anesth Analg 2005, 100:921-928. 10.1213/01.ANE.0000146437.88485.47, 15781499.
15. Priestley MC, Cope L, Halliwell R, Gibson P, Chard RB, Skinner M, et al. Thoracic epidural anesthesia for cardiac surgery: the effects on tracheal intubation time and length of hospital stay. Anesth Analg 2002, 94:275-282.
16. Stenseth R, Bjella L, Berg EM, Christensen O, Levang OW, Gisvold SE. Effects of thoracic epidural analgesia on pulmonary function after coronary artery bypass surgery. Eur J Cardiothorac Surg 1996, 10:859-865. 10.1016/S1010-7940(96)80311-3, 8911839.
17. Hansdottir V, Philip J, Olsen MF, Eduard C, Houltz E, Ricksten SE. Thoracic epidural versus intravenous patient-controlled analgesia after cardiac surgery: a randomized controlled trial on length of hospital stay and patient-perceived quality of recovery. Anesthesiology 2006, 104:142-151. 10.1097/00000542-200601000-00020, 16394700.
18. de Vries AJ, Mariani MA, van der Maaten JM, Loef BG, Lip H. To ventilate or not after minimally invasive direct coronary artery bypass surgery: the role of epidural anesthesia. J Cardiothorac Vasc Anesth 2002, 16:21-26. 10.1053/jcan.2002.29645, 11854873.
19. Goepfert MS, Reuter DA, Akyol D, Lamm P, Kilger E, Goetz A. Goal-directed fluid management reduces vasopressor and catecholamine use in cardiac surgery patients. Intensive Care Med 2007, 33:96-103. 10.1007/s00134-006-0404-2, 17119923.
20. Kirov MY, Lenkin AI, Kuzkov VV, Suborov EV, Slastilin VY, Borodin VV, et al. Single transpulmonary thermodilution in off-pump coronary artery bypass grafting: haemodynamic changes and effects of different anaesthetic techniques. Acta Anaesthesiol Scand 2007, 51:426-433. 10.1111/j.1399-6576.2006.01247.x, 17378780.
21. Kumar A, Anel R, Bunnell E, Habet K, Zanotti S, Marshall S, et al. Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects. Crit Care Med 2004, 32:691-699. 10.1097/01.CCM.0000114996.68110.C9, 15090949.
22. Hofer CK, Furrer L, Matter-Ensner S, Maloigne M, Klaghofer R, Genoni M, et al. Volumetric preload measurement by thermodilution: a comparison with transoesophageal echocardiography. Br J Anaesth 2005, 94:748-755. 10.1093/bja/aei123, 15790674.
23. Pölönen P, Ruokonen E, Hippeläinen M, Pöyhönen M, Takala J. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 2000, 90:1052-1059. 10.1097/00000539-200005000-00010, 10781452.
24. Smetkin AA, Kirov MY, Kuzkov VV, Lenkin AI, Eremeev AV, Slastilin VY, et al. Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary surgery. Acta Anaesth Scand 2009, 53:505-514. 10.1111/j.1399-6576.2008.01855.x, 19183113.
25. Lenkutis T, Benetis R, Sirvinskas E, Raliene L, Judickaite L. Effects of epidural anesthesia on intrathoracic blood volume and extravascular lung water during on-pump cardiac surgery. Perfusion 2009, 24:243-248. 10.1177/0267659109348724, 19808745.
26. Kiliçkan L, Solak M, Bayindir O. Thoracic epidural anesthesia preserves myocardial function during intraoperative and postoperative period in coronary artery bypass grafting operation. J Cardiovasc Surg 2005, 46:559-567.
27. Caputo M, Alwair H, Rogers CA, Ginty M, Monk C, Tomkins S, et al. Myocardial, inflammatory, and stress responses in off-pump coronary artery bypass graft surgery with thoracic epidural anesthesia. Ann Thorac Surg 2009, 87:1119-1126. 10.1016/j.athoracsur.2008.12.047, 19324137.
28. Tenenbein PK, Debrouwer R, Maguire D, Duke PC, Muirhead B, Enns J, et al. Thoracic epidural analgesia improves pulmonary function in patients undergoing cardiac surgery. Can J Anaesth 2008, 55:344-350. 10.1007/BF03021489, 18566197.
29. Curatolo M. Adding regional analgesia to general anaesthesia: increase of risk or improved outcome?. Eur J Anaesth 2010, 27:586-591.
30. Bakhtiary F, Therapidis P, Dzemali O, Ak K, Ackermann H, Meininger D, et al. Impact of high thoracic epidural anesthesia on incidence of perioperative atrial fibrillation in off-pump coronary bypass grafting: a prospective randomized study. J Thorac Cardiovasc Surg 2007, 134:460-464. 10.1016/j.jtcvs.2007.03.043, 17662790.
31. Myles PS, McIlroy D. Fast-track cardiac anesthesia: choice of anesthetic agents and techniques. Semin Cardiothorac Vasc Anesth 2005, 9:5-16. 10.1177/108925320500900102, 15735840.