Pressor amines in coronary artery bypass grafting procedure with and without the use of extracorporeal circulation/ Aminy presyjne w zabiegu pomostowania naczyń wieńcowych serca bez zastosowania i z zastosowaniem krążenia pozaustrojowego
Journal Title: Medical Science Pulse - Year 2017, Vol 11, Issue 4
Abstract
Background: Myocardial revascularization is the most commonly performed procedure in cardiac surgery. The development of coronary artery bypass grafting techniques without the use of extracorporeal circulation lead to the modification of anaesthetic techniques. When conducting anaesthesia for the OPCA B-type of procedure, an anaesthesiologist must respond quickly, particularly to frequent and sometimes unpredictable changes to hemodynamic stability. Aim of the study: The purpose of this study was to compare the use of pressor amines among patients undergoing myocardial revascularization with and without extracorporeal circulation. Material and methods: The study was retrospective. It included 80 patients, who underwent coronary artery bypass surgery. They were divided into two groups, and the criterion of selection was the non-application (group I - OPCA B Off-Pump Coronary Artery Bypass) or the use (group II - CPB) of extracorporeal circulation. The patients were subjected to multivariate statistical analysis in the preoperative period, which involved taking measures of selected clinical parameters at fixed points in time. The changes in the heart rate, mean arterial pressure and central venous pressure were also analysed. The daily balances of transfused colloid and crystalloid fluids, blood loss, given blood products and daily diuresis were compared. Results: Ephedrine was frequently administered during OPCA B procedures, but not even once in the CPB group. Dopamine was administered to all patients in the CPB group, while in the OPCA B group it was required by only 25% of patients. There were no statistical differences between the two groups in the use of epinephrine in the operating room and during the postoperative period. Conclusions: Off-pump coronary artery bypass surgery provides better haemodynamic stability and requires administration of smaller amounts of catecholamine<br/><br/>
Authors and Affiliations
Anna Jurkiewicz-Śpiewak, Dariusz Szurlej, Justyna Sejboth, Piotr Gurowiec, Aleksandra Romaska, Joanna Wanot, Tomasz Śpiewak
Keywords
Related Articles
- EP ID EP251667
- DOI -
- Views 148
- Downloads 0
Podsumowanie moich doświadczeń w prowadzeniu badań naukowych w Stanach Zjednoczonych oraz w Polsce w Instytucie Immunologii i Terapii Doświadczalnej w ramach stypendium Fulbrighta
Studia magisterskie z zakresu biologii molekularnej i komórkowej oraz późniejsze doświadczenia zawodowe sprawiły, że zaczęłam coraz bardziej interesować się badaniami mogącymibezpośrednio poprawić poziom opieki nad pacje...
The value of interdisciplinary research: lessons from the 2017 Nobel Prize in chronobiology
Since 1901, the Nobel Prize has been awarded to scientists who have made the most important discoveries for the benefit of humanity. The 2017 Nobel Prize in Physiology or Medicine was awarded jointly to Jeffrey C. Hall,...
Rehabilitation of patients with ischemic heart disease following myocardial revascularization
Background: Rehabilitation of patients following myocardial revascularization remains major problem in today’s world. Through psychological support and training, it is possible to develop a positive attitude to health an...
Working as a physiotherapist before and after the signing of the Physiotherapists Act of September 25th 2015 into law: selected aspects/ Wykonywanie zawodu fizjoterapeuty przed i po wprowadzeniu ustawy o zawodzie fizjoterapeuty z dnia 25 września 2015 roku : wybrane aspekty
Article 68 of the Constitution establishes a universal right to health care. However, when considering the legal regulation of the profession of a physiotherapist, the security provided by the constitution is not guarant...
Thermography as a non-invasive, reliable diagnostic tool in medicine - examples
Thermographic imaging is a measurement of a body surface temperature distribution. The symmetry of the skin temperature distribution is an important indicator of proper physiological body functions. Improper distribution...