Coronary artery bypass grafting using two different anesthetic techniques: Part I: Hemodynamic results

The Effect of Thoracic Epidural Analgesia on the Occurrence of Late Postoperative Hypoxemia in Patients Undergoing Elective Coronary Bypass Surgery

“…There is evidence to indicate improved myocardial oxygen supply and hemodynamic stability due to perioperative sympatholysis, 13 and a recent metaanalysis by Liu et al 14 assessed the effects of perioperative TEA on outcome after CABG surgery. The incidence of mortality or myocardial infarction were not affected, and TEA produced reduced risks of pulmonary complications and atrial fibrillation, reduced time to tracheal extubation, and reduced pain scores.…”

Thoracic Epidural Anesthesia During Coronary Artery Bypass Surgery

“…Joachimsson et al (24) and Liem et al (25) inserted a thoracic epidural catheter 20-24 h before cardiopulmonary bypass in 16 and 27 patients, respectively, with no complications. To our knowledge, the "safe" time range has not been completely studied.…”

Koronare Bypasschirurgie am wachen Patienten

“…Für die TEA konnten benefizielle Effekte bei Patienten mit KHK gezeigt werden, da die hochthorakale Sympathikolyse mit einer Verbesserung der Koronarperfusion insbesondere in nichtstenosierten Kollateralkreisläufen einherging, zu einer Senkung der Herzfrequenz und einer verminderten endogenen Stressantwort führt. Darüber hinaus verbessert die TEA die hämodynamische Stabilität und die postoperative pulmonale Funktion nach Eingriffen zur operativen Koronarrevaskularisation [9,38,41,43,64,68,69,71].…”