Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2002
Randomized Controlled Trial Clinical TrialCentrifugal versus roller head pumps for cardiopulmonary bypass: effect on early neuropsychologic outcomes after coronary artery surgery.
To test the hypothesis that routine use of a centrifugal pump in the cardiopulmonary bypass circuit would result in a lower incidence of early neuropsychologic deficit when compared with conventional roller pumps. ⋯ There was no significant difference in the incidence of neuropsychologic deficit postoperatively with routine use of centrifugal pumps. The larger number of individual test deficits in the roller pump group suggest that further studies to assess the potential neuropsychologic benefits of the use of centrifugal pumps are warranted.
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J. Cardiothorac. Vasc. Anesth. · Dec 2002
Randomized Controlled Trial Clinical TrialA combination of intrathecal morphine and remifentanil anesthesia for fast-track cardiac anesthesia and surgery.
To determine if the combined remifentanil and intrathecal morphine (RITM) anesthetic technique facilitates early extubation in patients undergoing coronary artery bypass graft (CABG) surgery. ⋯ Implementation of the RITM technique provided earlier tracheal extubation, decreased level of sedation, excellent analgesia, and improved spirometry in the early postoperative period. The impact of RITM on ICU and hospital length of stay and potential cost benefits require further evaluation.
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J. Cardiothorac. Vasc. Anesth. · Dec 2002
Time course of neuromuscular blockade with rocuronium in children with intracardiac shunts.
To evaluate the time course of neuromuscular blockade after rocuronium in children with intracardiac shunts. ⋯ This study shows a more rapid onset of rocuronium in children with cyanotic congenital heart disease. In these patients, rocuronium is indicated, particularly for rapid airway control.