Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2014
Randomized Controlled TrialRight Ventricular Function During One-lung Ventilation: Effects of Pressure-controlled and Volume-controlled Ventilation.
To test the effects of pressure-controlled (PCV) and volume-controlled (VCV) ventilation during one-lung ventilation (OLV) for thoracic surgery on right ventricular (RV) function. ⋯ The use of PCV offers more improved RV function than the use of VCV during OLV for open thoracotomy. These results apply specifically to younger patients with good ventricular and pulmonary functions.
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J. Cardiothorac. Vasc. Anesth. · Aug 2014
Multicenter Study Comparative Study Clinical TrialProspective, Comparative Study of the On-Q(®) PainBuster(®) Postoperative Pain Relief System and Thoracic Epidural Analgesia After Thoracic Surgery.
Pain after thoracotomy is associated with intense discomfort leading to impaired pulmonary function. ⋯ Sufficient analgesia after thoracotomy can be achieved with the intercostal PainBuster® system in patients, who cannot receive TEA.
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J. Cardiothorac. Vasc. Anesth. · Aug 2014
Randomized Controlled TrialMannitol and Renal Dysfunction after Endovascular Aortic Aneurysm Repair Procedures: A Randomized Trial.
Endovascular aortic aneurysm repair (EVAR) may result in deterioration of renal function. Mannitol has renovascular and antioxidant properties that could prove beneficial in this respect. ⋯ Mannitol plus hydration during EVAR provides a small but significant benefit for renal function. Future preventive protocols aiming at greater restoration of renal function after EVAR could include mannitol as a useful component.
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J. Cardiothorac. Vasc. Anesth. · Aug 2014
Randomized Controlled TrialSingle-Dose, Bilateral Paravertebral Block Plus Intravenous Sufentanil Analgesia in Patients With Esophageal Cancer Undergoing Combined Thoracoscopic-Laparoscopic Esophagectomy: A Safe and Effective Alternative.
Paravertebral block (PVB) has been shown to be an ideal aid for analgesia after thoracic or abdominal surgery. The authors studied the safety and efficacy of the single-dose and bilateral ultrasound-guided (USG)-PVB before combined thoracoscopic-laparoscopic esophagectomy (TLE) along with intravenous sufentanil analgesia as a method of pain relief in comparison with intravenous sufentanil as a sole analgesic agent. ⋯ The single-dose and bilateral PVB given before TLE combined with sufentanil may provide better postoperative analgesia and early discharge in patients undergoing TLE.