关键词: anesthesia management coronary artery bypass hemodynamics retrospective single center

来  源:   DOI:10.3389/fsurg.2022.1067750   PDF(Pubmed)

Abstract:
UNASSIGNED: To summarize the current practice of anesthesia management for Chinese patients undergoing off-pump coronary artery bypass (OPCAB) surgery at a large-volume cardiovascular center.
UNASSIGNED: The clinical data of consecutive patients undergoing isolated, primary OPCAB surgery during the period from September 2019 to December 2019 were retrospectively analyzed. Patient characteristics, intraoperative data, and short-term outcomes were extracted from the Hospital Information System and the Anesthesia Information Management System.
UNASSIGNED: A total of 255 patients who underwent OPCAB surgery were enrolled in the current study. High-dose opioids and short-acting sedatives were the most commonly administrated anesthetics intraoperatively. Pulmonary arterial catheter insertion is frequently performed in patients with serious coronary heart disease. Goal-directed fluid therapy, a restricted transfusion strategy, and perioperative blood management were routinely used. Rational usages of inotropic and vasoactive agents facilitate hemodynamic stability during the coronary anastomosis procedure. Four patients underwent re-exploration for bleeding, but no death was observed.
UNASSIGNED: The study introduced the current practice of anesthesia management at the large-volume cardiovascular center, and the short-term outcomes indicated the efficacy and safety of the practice in OPCAB surgery.
摘要:
UNASSIGNED:总结在大容量心血管中心接受非体外循环冠状动脉搭桥术(OPCAB)手术的中国患者的麻醉管理现状。
未经证实:连续接受隔离治疗的患者的临床数据,回顾性分析2019年9月至2019年12月期间的原发性OPCAB手术。患者特征,术中数据,从医院信息系统和麻醉信息管理系统中提取短期结果。
UNASSIGNED:本研究共纳入255例接受OPCAB手术的患者。高剂量阿片类药物和短效镇静剂是术中最常用的麻醉药。患有严重冠心病的患者经常进行肺动脉导管插入。目标导向液体治疗,限制性输血策略,围手术期常规使用血液管理。在冠状动脉吻合术过程中,合理使用正性肌力和血管活性剂可促进血流动力学稳定。四名患者因出血接受了重新探查,但没有观察到死亡。
UNASSIGNED:该研究介绍了大容量心血管中心的当前麻醉管理实践,短期结局表明OPCAB手术的有效性和安全性.
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