Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Feb 2007
Randomized Controlled Trial Comparative StudyFast-track cardiac anesthesia: efficacy and safety of remifentanil versus sufentanil.
The purpose of this study was to compare the safety and efficacy of fast-track cardiac anesthesia with remifentanil (group R) versus sufentanil (group S). ⋯ Remifentanil for fast-track cardiac anesthesia provided safe and stable operating conditions and facilitated earlier tracheal extubation. However, postoperative pain management should be planned carefully.
-
J. Cardiothorac. Vasc. Anesth. · Feb 2007
Meta Analysis Comparative StudyRegional or general anesthesia for carotid endarterectomy? Evidence from published prospective and retrospective studies.
The aim of this study was to compare outcomes of patients undergoing carotid endarterectomy under regional or general anesthesia for any new neurologic impairment, stroke, stroke and/or death, death, and myocardial infarction. ⋯ The number of patients included in randomized controlled trials or even in prospective studies is too low to allow any conclusions on the differences in outcome between the 2 anesthetic techniques. Better outcomes are suggested when results from retrospective studies are added.
-
J. Cardiothorac. Vasc. Anesth. · Feb 2007
Clinical TrialThe role of endogenous kallikrein inhibition in perioperative transfusion and adverse outcome in cardiac surgical patients.
The goal of this study was to explore the relationship among endogenous plasma kallikrein inhibition (KI), perioperative bleeding, and adverse outcomes in cardiac surgery. ⋯ Contrary to expectation, higher endogenous KI levels were associated with more blood product transfusion, longer postoperative mechanical ventilation, and hospital length of stay. These findings raise questions as to the role of KI in postoperative outcomes.