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Journals / Anadolu Kardiyoloji Dergisi / 2009 / Cilt: 9 - Sayı: 1

Minimal invazif koroner baypas cerrahisi yapılan hastalarda genel anesteziye karşı epidural anestezi

Epidural anesthesia versus general anesthesia in patients undergoing minimally invasive direct coronary artery bypass surgery

Şanser ATEŞ
Murat KURTOĞLU
Beyhan BAKKALOĞLU
Selmin BEŞBAŞ
Haldun KARAGÖZ
Tayfun AYBEK
İbrahim DUVAN
Hatice AKDAŞ
Pages
54–58
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The EA Group patients had lower arterial oxygen saturations (93.3±3.2% versus 97.4±1.3%, p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Minimally invasive direct coronary artery bypass (MIDCAB) surgery in the awake patient with epidural anesthesia had been previously reported.
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Key Findings & Data:Between January 2002 and May 2003, 76 patients wererandomly assigned into either MIDCAB under general anesthesia (GA Group) or MIDCAB under epidural anesthesia (EA Group).
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Conclusion & Impact:The EA Group patients had lower arterial oxygen saturations (93.3±3.2% versus 97.4±1.3%, p
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Minimally invasive direct coronary artery bypass (MIDCAB) surgery in the awake patient with epidural anesthesia had been previously reported. However, there is no prospective randomized study comparing MIDCAB surgery with epidural anesthesia versus general anesthesia. Methods: The study was conducted as a prospective and randomized study. Between January 2002 and May 2003, 76 patients wererandomly assigned into either MIDCAB under general anesthesia (GA Group) or MIDCAB under epidural anesthesia (EA Group). The EA Group patients did not receive concomitant general anesthesia and they were conscious throughout the procedure. All patients had a left internal thoracic artery to left anterior descending coronary artery bypass using the same MIDCAB techniques. There were 42 patients in the GA Group and 34 patients in the EA Group. For statistical analysis, unpaired t-test for independent samples was used for comparison of continuous variables, and Pearson Chi-Square test was used for comparison of discrete variables.Results: The demographic characteristics of the groups were similar. There was no mortality or major morbidity in both groups. The EA Group patients had lower arterial oxygen saturations (93.3±3.2% versus 97.4±1.3%, p

Özet

Amaç: Epidural anestezi ile uyanık hastada minimal invazif koroner baypas cerrahisi (MİDKAB) daha önce tanımlanmıştı. Fakat epidural anesteziyle yapılan MİDKAB ameliyatını genel anestezi ile kıyaslayan prospektif randomize bir çalışma yoktur. Yöntemler: Çalışma prospektif ve randomize olarak yürütülmüştür. Ocak 2002 ile Mayıs 2003 arasında, 76 hasta rasgele ya genel anestezi ile MİDKAB yapılan gruba (GA Grup) ya da epidural anestezi ile MİDKAB yapılan gruba (EA Grup) alındı. Epidural anestezi grubundaki hastalar aynı anda genel anestezi almadılar ve ameliyat süresince bilinçliydiler. Bütün hastalarda aynı MİDKAB teknikleri kullanılarak sol internal torasik arter sol ön inen artere baypas edildi. Genel anestezi grubunda 42, EA grubunda ise 34 hasta vardı. İstatistiksel analiz, devamlı değişkenler için t-testleri ve ayrık değişkenler için Pearson Ki-Kare testleri kullanılarak gerçekleştirildi.Bulgular: Grupların demografik karakteristikleri benzerdi. Her iki grupta da mortalite veya büyük morbidite yoktu. Epidural anestezi grubundaki hastaların arteryel oksijen saturasyonu düşük (%93.3±3.2 ve %97.4±1.3, p

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Cite This Article

ATEŞ, Ş., KURTOĞLU, M., BAKKALOĞLU, B., BEŞBAŞ, S., KARAGÖZ, H., AYBEK, T., DUVAN, İ., AKDAŞ, H. (2022). Minimal invazif koroner baypas cerrahisi yapılan hastalarda genel anesteziye karşı epidural anestezi. Anadolu Kardiyoloji Dergisi, Cilt: 9 - Sayı: 1, 54–58. https://ajindex.com/articles/436932

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References (13)

  1. Karagöz HY, Sönmez B, Bakkaloğlu B, Kurtoğlu M, Erdinç M, Turkeli A, et al. Coronary artery bypass grafting in the conscious patient without endotracheal general anesthesia. Ann Thorac Surg 2000; 70: 91-6
  2. Zenati MA, Paiste J, Williams JP, Strindberg G, Dumouchel JP, Griffith BP. Minimally invasive coronary bypass without general endotracheal anesthesia. Ann Thorac Surg 2001; 72: 1380-2
  3. Paiste J, Bjerke RJ, Williams JP, Zenati MA. Minimally invasive direct coronary artery bypass surgery under high thoracic epidural. Anesth Analg 2001; 93: 1486-8
  4. Anderson MB, Kwong KF, Furst AJ, Salerno TA. Thoracic epidural anesthesia for coronary bypass via left anterior thoracotomy in the conscious patient. Eur J Cardiothorac Surg 2001; 20: 415-7
  5. Aybek T, Doğan S, Neidhard G, Kessler P, Matheis G, Wimmer-Greinecker G, et al. Coronary artery bypass grafting through complete sternotomy in conscious patients. Heart Surg Forum 2002; 5: 17-21
  6. Vanek T, Straka Z, Brucek P, Widimsky P. Thoracic epidural anesthesia for off pump coronary artery bypass without intubation. Eur J Cardiothorac Surg 2001; 20: 858-60
  7. Souto GL, Caetano Júnior Cda S, De Souza JB, Souto HB, Filho AG, Teixeira MA, et al. Coronary artery bypass in the ambulatory patient. J Thorac Cardiovasc Surg 2002; 123: 1008-9
  8. Gatti G, Piccione R, Pugliese P. Thoracic epidural anesthesia for off-pump coronary artery bypass grafting in a spontaneously breathing conscious patient. Ital Heart J 2003; 4: 565-7
  9. Karagöz HY, Kurtoğlu M, Bakkaloğlu B, Sönmez B, Çetintaş T, Bayazit K. Coronary artery bypass grafting in the awake patient: three years' experience in 137 patients. J Thorac Cardiovasc Surg 2003; 125: 1401-4
  10. Aybek T, Kessler P, Khan MF, Doğan S, Neidhart G, Moritz A, et al. Operative techniques in awake coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003; 125: 1394-400
  11. Chakravarthy M, Jawali V, Patil TA, Jayaprakash K, Shivananda NV. High thoracic epidural anesthesia as the sole anesthetic for performing multiple grafts in off-pump coronary artery bypass surgery. J Cardiothorac Vasc Anesth 2003; 17: 160-4
  12. Watanabe G, Yamaguchi S, Tomita S, Ohtake H. Awake subxyphoid minimally invasive direct coronary artery bypass yielded minimum invasive cardiac surgery for high risk patients. Interact Cardiovasc Thorac Surg 2008; 7: 910-12
  13. Karagöz HY, Kurtoğlu M, Özerdem G, Battaloğlu B, Korkmaz S, Bayazit K: Minimally invasive coronary artery bypass grafting: The rib c