[Comparative characteristics of various anesthetic methods during coronary artery bypass grafting CABG]. 2009

M A Nachkepia, and V M Akhaladze, and A D Kopaliani, and K V Beseliia, and K Iu Nuralidze, and Z A Lekiashvili

During the last 10 years increase in the number of surgical centers developing the practice of off-pump heart surgeries has been noticed. Our medical centre, where 140 CABG surgeries have been performed, is one of the like. Such surgeries demand multicomponent anesthetic manual able to provide adequate depth of anesthesia, hemodynamic stability, prevention of intraoperative myocardial ischemia, providing an early patient activation in a postoperative period. On the assumption stated above we suggest and compare two anesthetic methods - total intravenous anesthesia on the basis of Propofol and Phentanylum and inhalational anesthesia on the basis of Isoflurane for providing CABG Surgery. It has been detected that the anesthetic methods offered by us enable to provide an adequate anesthetic defence while performing CABG Surgeries in case of stable markers of hemodynamics and oxygen transfer functions. Mild hemodynamic disorders have been detected in the operation course first of all at the expense of positional changes and heart immobilization. These disorders have not lead to the deterioration of oxygen transfer functions and have been totally eliminated in the recovery period. Worked-out anesthetic methods on the basis of Midazolam, Propofol, Isoflurane and low doses of Phentanylum (5-7 mcg/kg per hour) give a possibility to decrease the period of artificial lung ventilation, provides an early (less than 6 hours) and safe extubation for 86% of the patients and reduces their stay in a resuscitation unit as well.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D005260 Female Females
D005283 Fentanyl A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) Phentanyl,Duragesic,Durogesic,Fentanest,Fentanyl Citrate,Fentora,R-4263,Sublimaze,Transmucosal Oral Fentanyl Citrate,R 4263,R4263
D005846 Georgia (Republic) A country in southwestern Asia, bordering the Black Sea, between Turkey and Russia. The capital is Tbilisi. Georgian S.S.R.,Georgia (Western Asia),Georgia SSR,Georgian SSR,Republic of Georgia
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000768 Anesthesia, General Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery. Anesthesias, General,General Anesthesia,General Anesthesias

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