Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting
Objective. Despite some advantages, the use of high thoracic epidural anesthesia (HTEA) during cardiac operations may be discouraged by fear of adverse hemodynamic effects. Aim. To compare the hemodynamic effects of HTEA and central analgesia (CA) during on-bypass CABG. Methods. 132 patients were...
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Zaporizhzhia State Medical and Pharmaceutical University
2015-06-01
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| Series: | Zaporožskij Medicinskij Žurnal |
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| Online Access: | http://zmj.zsmu.edu.ua/article/view/44487/42745 |
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| author | V. A. Sobokar S. N. Gritsenko M. S. Potapenko |
| author_facet | V. A. Sobokar S. N. Gritsenko M. S. Potapenko |
| author_sort | V. A. Sobokar |
| collection | DOAJ |
| description | Objective. Despite some advantages, the use of high thoracic epidural anesthesia (HTEA) during cardiac operations may be discouraged by fear of adverse hemodynamic effects. Aim. To compare the hemodynamic effects of HTEA and central analgesia (CA) during on-bypass CABG.
Methods. 132 patients were assigned into two groups – study group (n = 85), where the surgery was carried out under HTEA and control group (n = 47) - where the surgery was carried out under CA. Data of the intraoperative monitoring and trans-oesophageal cardiac ultrasound - cardiac index (CI), stroke index (SI), ejection fraction (EF) and index of systemic vascular resistance (ISVR) were obtained.
Results. After induction and sternotomy patients in the study group had higher EF - 57(53, 65)% vs 54 ± 7% (p = 0,013) and 55 ± 8 vs 52 ± 9%, (p = 0,031). After sternotomy CI and SI in the study group were also higher, respectively 2,42 (2,0;3,1) vs 2,23±0,63 l · min-1 · m-2, (p = 0,041) and 43 (34;46) vs 37±10 ml · m-2 (p = 0.014).
Conclusion. We concluded that HTEA has advantages over CA by its influence on hemodynamics. |
| format | Article |
| id | doaj-art-0f0542c556db46ecb6c50f7843801ce8 |
| institution | Kabale University |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2015-06-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-0f0542c556db46ecb6c50f7843801ce82025-08-20T03:54:24ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102015-06-0136064http://dx.doi.org/10.14739/2310-1210.2015.3.44487Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass graftingV. A. Sobokar S. N. GritsenkoM. S. PotapenkoObjective. Despite some advantages, the use of high thoracic epidural anesthesia (HTEA) during cardiac operations may be discouraged by fear of adverse hemodynamic effects. Aim. To compare the hemodynamic effects of HTEA and central analgesia (CA) during on-bypass CABG. Methods. 132 patients were assigned into two groups – study group (n = 85), where the surgery was carried out under HTEA and control group (n = 47) - where the surgery was carried out under CA. Data of the intraoperative monitoring and trans-oesophageal cardiac ultrasound - cardiac index (CI), stroke index (SI), ejection fraction (EF) and index of systemic vascular resistance (ISVR) were obtained. Results. After induction and sternotomy patients in the study group had higher EF - 57(53, 65)% vs 54 ± 7% (p = 0,013) and 55 ± 8 vs 52 ± 9%, (p = 0,031). After sternotomy CI and SI in the study group were also higher, respectively 2,42 (2,0;3,1) vs 2,23±0,63 l · min-1 · m-2, (p = 0,041) and 43 (34;46) vs 37±10 ml · m-2 (p = 0.014). Conclusion. We concluded that HTEA has advantages over CA by its influence on hemodynamics.http://zmj.zsmu.edu.ua/article/view/44487/42745Epidural AnesthesiaAnalgesiaHemodynamics |
| spellingShingle | V. A. Sobokar S. N. Gritsenko M. S. Potapenko Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting Zaporožskij Medicinskij Žurnal Epidural Anesthesia Analgesia Hemodynamics |
| title | Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting |
| title_full | Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting |
| title_fullStr | Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting |
| title_full_unstemmed | Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting |
| title_short | Comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on-bypass coronary artery bypass grafting |
| title_sort | comparison of influence of high thoracic epidural anesthesia and central analgesia on hemodynamic during on bypass coronary artery bypass grafting |
| topic | Epidural Anesthesia Analgesia Hemodynamics |
| url | http://zmj.zsmu.edu.ua/article/view/44487/42745 |
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