Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Desflurane, dexmedetomidine and intercostal block in the early activation protocol of patient after repeated coronary artery bypass grafting

Authors: :Diasamidze K.E., Vorozhka I.V., Golubev E.P., Rustamov B.E., Rybka M.M.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2020-17-2-148-153

UDC: 615.217.22.03:616.132.2-089.819.5

Link: Clinical Physiology of Blood Circulaiton. 2020; 17 (2): 148-153

Quote as: Diasamidze K.E., Vorozhka I.V., Golubev E.P., Rustamov B.E., Rybka M.M. Desflurane, dexmedetomidine and intercostal block in the early activation protocol of patient after repeated coronary artery bypass grafting. Clinical Physiology of Circulation. 2020; 17 (2): 148–53 (in Russ.). DOI: 10.24022/1814-6910-2020-17-2-148-153

Received / Accepted:  17.04.2020/20.04.2020

Full text:  

Abstract

Anesthesiological tactics of the so-called «fast-track cardiac surgery», which allows to wean a patient from mechanical ventilation in the shortest possible time, is a modern trend in cardiac anesthesiology. This tactics helps to reduce the duration of patient's time on mechanical ventilation, duration of stay in an intensive care unit and, potentially, in a hospital. This article presents a clinical case of successful extubation of a patient on the operating table after repeated coronary artery bypass grafting using the new protocol used by the authors.

References

  1. Totonchi Z., Azarfarin R., Jafari L., Alizadeh Ghavidel A., Baharestani B., Alizadehasl A. et al. Feasibility of on-table extubation after cardiac surgery with cardiopulmonary bypass: a randomized clinical trial. Anesth. Pain. Med. 2018; 8 (5): DOI: 10.5812/ aapm.80158
  2. Kobayashi T., Kurazumi H., Gohra H., Shibasaki S., Kudo Y., Yamauchi N. et al. Effect of ultra-fast-track extubation in cardiovascular surgery. Kyobu Geka. 2016; 69 (12): 971–8. PMID: 27821819
  3. Wong W.T., Lai V.K., Chee Y.E., Lee A. Fast-track cardiac care for adult cardiac surgical patients. Cochrane Database Syst. Rev. 2016; 9: CD003587. DOI: 10.1002/ 14651858.CD003587
  4. Salah M., Hosny H., Salah M., Saad H. Impact of immediate versus delayed tracheal extubation on length of ICU stay of cardiac surgical patients, a randomized trial. Heart Lung Vessel. 2015; 7 (4): 311–9. PMID: 26811837
  5. Yan M.J., Wang T., Wu X.M., Zhang W. Comparison of dexmedetomidine or sufentanil combined with ropivacaine for epidural analgesia after thoracotomy: a randomized controlled study. J. Pain. Res. 2019; 12: 2673–8. DOI: 10.2147/JPR.S208014. eCollection 2019
  6. Wang K., Wang L.J., Yang T.J., Mao Q.X., Wang Z., Chen L.Y. Dexmedetomidine combined with local anesthetics in thoracic paravertebral block: a systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018; 97 (46): e13164. DOI: 10.1097/MD.0000000000013164
  7. Ke Peng, Fu-Hai Ji, Hua-Yue Liu, Juan Zhang, QingCai Chen, Ya-Hui Jiang. Effects of perioperative dexmedetomidine on postoperative mortality and morbidity: a systematic review and meta-analysis. Clin. Ther. 2019; 41 (1): 138–54. DOI: 10.1016/j.clinthera. 2018.10.022
  8. Grant M.C., Isada T., Ruzankin P., Whitman G., Lawton J.S., Dodd-O J., Barodka V. Results from an enhanced recovery program for cardiac surgery. J. Thorac. Cardiovasc. Surg. 2020; 159 (4): 1393–402. DOI: 10.1016/j.jtcvs.2019.05.035

About Authors

  • Kakhaber E. Diasamidze, Dr. Med. Sc., Leading Researcher; orcid.org/0000-0002-0691-3498
  •  Igor' V. Vorozhka, Anesthesiologist-Resuscitator; orcid.org/0000-0001-5768-128X
  • Evgeniy P. Golubev, Cand. Med. Sc., Researcher; orcid.org/0000-0003-0507-9937
  • Bakht E. Rustamov, Cand. Med. Sc., Researcher; orcid.org/0000-0001-5378-0061
  • Mikhail M. Ribka, Dr. Med. Sc. Professor, Head of Department of Anesthesiology and Resuscitation; orcid.org/0000-0003-2663-2236

 If you found mistakes, select text and press Alt+A