{Reference Type}: Journal Article
{Title}: Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center.
{Author}: Lin Y;Sun T;Cheng NN;Liu JJ;He LX;Wang LH;Liu XW;Chen MF;Chen LW;Yao YT; ;
{Journal}: Front Surg
{Volume}: 9
{Issue}: 0
{Year}: 2022
{Factor}: 2.568
{DOI}: 10.3389/fsurg.2022.1067750
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.