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Titolo:
Fast track as a routine for open heart surgery
Autore:
Oxelbark, S; Bengtsson, L; Eggersen, M; Kopp, J; Pedersen, J; Sanchez, R;
Indirizzi:
Heart Ctr Varde, DK-6800 Varde, Denmark Heart Ctr Varde Varde Denmark DK-6800 Ctr Varde, DK-6800 Varde, Denmark
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 4, volume: 19, anno: 2001,
pagine: 460 - 463
SICI:
1010-7940(200104)19:4<460:FTAARF>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
BYPASS GRAFT-SURGERY; CARDIAC-SURGERY; EPIDURAL-ANESTHESIA; EXTUBATION; ANALGESIA; RISK;
Keywords:
fast track surgery; thoracic epidural catheter; normothermia; blood cardioplegia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Oxelbark, S Heart Ctr Varde, DK-6800 Varde, Denmark Heart Ctr Varde Varde Denmark DK-6800 DK-6800 Varde, Denmark
Citazione:
S. Oxelbark et al., "Fast track as a routine for open heart surgery", EUR J CAR-T, 19(4), 2001, pp. 460-463

Abstract

Objective: Evaluation of thoracic epidural analgesia (TEA), normothermic cardiopulmonary bypass (CPB) and normothermic blood cardioplegia as a routine procedure for fast track open heart surgery. Methods: Consecutive patients (n = 250, age 36-81 years, mean 63, M/F, ratio = 4) were subjected to thecombination of general anaesthesia using ultra-short acting opiates. TEA, normothermic CBP, normothermic whole blood cardioplegia. Operative procedures included coronary artery bypass grafting (CABG), valve replacement, combined CABG and valves, aortic aneurysm and Maze III. LVEF ranged 20-76%. Eighty percent were in Tuman score 0-5 and 20% in score >5. Results: All patients were extubated within 10 min after skin closure. There was one myocardial infarction. Four percent were shortly treated with cathecholamines. Postoperative atrial fibrillation was noticed in 9.6%. Four transient cerebral ischemic events were encountered. No neurological disturbance related to the use TEA was seen. Seven patients were reoperated because of bleeding. Blood transfusion was given to 6.4% of the patients. Mortality was 0.8%. Conclusions: The combined methods provides a way for routine immediate postoperative exturbation, with low morbidity and short hospital stay. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 09:13:07