Details

Autor(en) / Beteiligte

• Wakasugi, M
• Shakunaga, K
• Fujimura, J
• Jomura, K
• Masuda, A
• Ito, Y

Titel

Efficacy of epidural analgesia in minimally invasive direct coronary artery bypass surgery

Ist Teil von

• Masui. The Japanese journal of anesthesiology, 1998-10, Vol.47 (10), p.1207

Ort / Verlag

Japan

Erscheinungsjahr

1998

Quelle

MEDLINE

Beschreibungen/Notizen

• Minimally invasive direct coronary artery bypass surgery (MIDCAB), coronary bypass grafting with small thoracotomy using no cardiopulmonary bypass (CPB), became popular recently. To attenuate perioperative stress-response, we used epidural analgesia (EPI) with general anesthesia for MIDCAB operation. In this study, we compared retrospectively 11 cases of MIDCAB managed with EPI [ED (+)], and 14 cases of MIDCAB anesthetized without using EPI [ED (-)], concerning extubation time, ICU stay, hospital stay and perioperative complications. The mean time from cessation of general anesthesia to extubation was significantly shorter in ED (+) patients (0.5 hours) when compared to ED (-) patients (18.2 hours). Mean periods of ICU stay and hospital stay were, also, shorter in ED (+) patients (2.1 days, 30.5 days, respectively) when compared to ED (-) (4.3 days, 45.1 days, respectively) patients. We experienced ventricular tachycardia in three patients of ED (-). No major complication occurred in ED (+) patients. These results suggest that EPI shortened extubation time, ICU and hospital stay for MIDCAB patients.