Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Comparative Study Clinical TrialHemodynamic measurements after cardiac surgery: transesophageal Doppler versus pulmonary artery catheter.
The purpose of this study was to compare hemodynamic data derived from the transesophageal Doppler monitor (Medicina TECO, Berkshire, United Kingdom) against those obtained from a pulmonary artery catheter after coronary artery bypass grafting (CABG). ⋯ A transesophageal Doppler device (Medicina TECO) cannot be relied on as a sole method for monitoring cardiac output and derived hemodynamic variables in patients after CABG surgery.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Meta AnalysisEffects of preemptive epidural analgesia on post-thoracotomy pain.
The purpose of this study was to determine whether preemptive thoracic epidural analgesia (TEA) initiated before surgical incision would reduce the severity of acute post-thoracotomy pain and the incidence of chronic post-thoracotomy pain. ⋯ Preemptive TEA appeared to reduce the severity of acute pain but had no effect on the incidence of chronic pain.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled Trial Comparative StudyComparison of magnesium sulfate with opioid and NSAIDs on postoperative pain management after coronary artery bypass surgery.
This study measured the effectiveness of magnesium sulfate during and after coronary artery bypass grafting (CABG) on postoperative pain and respiratory functions, and compared it with 2 other well-known and widely used analgesic agents: codeine and diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). ⋯ Magnesium sulfate can be a beneficial adjuvant therapy for pain after CABG. In this respect, especially in patients with respiratory problems or intolerance to NSAIDs, magnesium sulfate can be a better choice than NSAIDs and opioids.
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J. Cardiothorac. Vasc. Anesth. · Dec 2005
Randomized Controlled TrialCombination of intrathecal morphine and remifentanil infusion for fast-track anesthesia in off-pump coronary artery bypass surgery.
The purpose of this study was to assess the combination of intrathecal morphine and remifentanil infusion with isoflurane in off-pump coronary artery surgery, with a focus on postoperative analgesia and fast-tracking. ⋯ In the setting of isoflurane anesthesia for off-pump coronary artery bypass grafting, ITM combined with remifentanil infusion provides better postoperative analgesia than does remifentanil infusion alone, and does not improve or negatively affect fast-tracking.