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 149
- Downloads 0
O odpowiedzialnych badaniach i innowacjach – stare pojęcie w nowych szatach
Szybki rozwój nauki i technologii często budzi kontrowersje. Liczne przykłady badań, które zostały zakwestionowane lub odrzucone przez opinię publiczną pokazały dobitnie, że obawy społeczeństw nie powinny być ani ignorow...
The frequency of the self-examination of testicles among men in selected socio-demographic conditions/ Częstość samobadania jąder wśród mężczyzn w wybranych uwarunkowaniach socjo -demograficznych
<br/><b>Background:</b> Testicle cancer constitutes 1.6% of malignant neoplasms in men. It is the most common tumor in men aging 20-44 years. It is worrying that the analysis of epidemiological data from the last three d...
THE STATE OF PHYSICAL ACTIVITY AND ITS PERCEPTION IN ONCOLOGICAL PATIENTS
Background: Malignant neoplasms constitute significant danger to humans on a global scale. However, the effects of oncological therapies continue to be unsatisfactory. In order to improve the treatment results, new or ad...
STAN AKTYWNOŚCI FIZYCZNEJ I JEJ POSTRZEGANIE PRZEZ PACJENTÓW ONKOLOGICZNYCH
Background. Malignant neoplasms constitute significant danger to humans on a global scale. However, the effects of oncological therapies continue to be unsatisfactory. In order to improve the treatment results, new or ad...
Application of various physiotherapeutic methods in a conservative treatment of neurogenic scoliosis in a comatose patient - a case report/ Zastosowanie różnych metod fizjoterapeutycznych w leczeniu zachowawczym skoliozy neurogennej u pacjentki w śpiączce – opis przypadku
Background: Conservative treatment of scoliosis is difficult and does not always result in improvement. Correcting scoliosis of a patient in a coma presents a great challenge due to lack of contact with the patient, thus...