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Fast-track Anaesthesia with Alfentanil in Heart Valves Surgery


Authors: T. Vaněk;  P. Brůček;  Z. Straka;  M. Jareš
Authors‘ workplace: Kardiochirurgické oddělení UK, 3. LF a FNKV, Praha, přednosta doc. MUDr. Z. Straka, CSc.
Published in: Anest. intenziv. Med., , 2002, č. 5, s. 203-205
Category:

Overview

The authors describe their experience with 22 patients who underwent the fast-tract anaesthesia with alfentanil for the lesion of aortic valve,ascending aorta or mitral valve. 8 patients had moderate risk for the surgery (EuroSCORE 3–5) and 11 patients had high risk for the surgery(EuroSCORE>6). 8 patients (36.3%) were extubated 10 minutes after the end of the procedure in the operating room. The average time of mechanicalventilation in other patients was 51±45 minutes. No patient was reintubated for the respiratory or cardiac failure. Average length of stay in the intensivecare unit was 2.2±1.4 days. No patient died in 30 postoperative days. The authors’opinion is that the fast-track anaesthesia with alfentanil and withoutthoracic epidural analgesia is also suitable for cardiac surgery requiring cardiopulmonary bypass in high risk patients.

Key words:
fast-track anaesthesia – alfentanil – heart valves surgery

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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

Article was published in

Anaesthesiology and Intensive Care Medicine


2002 Issue 5

Most read in this issue
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