Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative Study Clinical TrialDifficult laryngoscopy: incidence and predictors in patients undergoing coronary artery bypass surgery versus general surgery patients.
Cardiac surgery patients might have a higher incidence of difficult laryngoscopy than the general population because of older age, dental problems, and obesity. The authors estimated the incidence and predictors of difficult laryngoscopy in coronary artery bypass surgery patients. ⋯ Difficult laryngoscopy was more frequent in cardiac surgery patients (10% v 5.2%). Older age and limited neck movement, but not cardiac surgery per se, were independent predictors of difficult laryngoscopy.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative StudyChronic exposure to nicotine does not prevent neurocognitive decline after cardiac surgery.
To establish the association between smoking and cognitive decline in patients undergoing coronary artery bypass graft (CABG) surgery. ⋯ This study confirmed previous findings that age, baseline cognitive function, years of education, and impaired left ventricular function are independent predictors of neurocognitive decline at 6 weeks after CABG surgery. Smoking is neither preventive nor causative of cognitive decline after CABG surgery.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative Study Clinical TrialComparison of minithoracotomy and conventional sternotomy approaches for valve surgery.
To compare patients undergoing valve surgery through a minithoracotomy approach with a matched group undergoing conventional valve surgery. ⋯ These results suggest that valve surgery is feasible in many cases through minithoracotomy. Nevertheless, this approach increases surgical complexity and in this comparative study no significant benefit was shown.