Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center
BackgroundTo summarize the current practice of anesthesia management for Chinese patients undergoing off-pump coronary artery bypass (OPCAB) surgery at a large-volume cardiovascular center.Materials and methodsThe clinical data of consecutive patients undergoing isolated, primary OPCAB surgery durin...
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1067750/full |
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| author | Yong Lin Yong Lin Tao Sun Ning-ning Cheng Jing-jing Liu Li-xian He Li-hong Wang Xian-wen Liu Mei-fang Chen Liang-wan Chen Yun-tai Yao the Evidence in Cardiovascular Anesthesia (EICA) Group |
| author_facet | Yong Lin Yong Lin Tao Sun Ning-ning Cheng Jing-jing Liu Li-xian He Li-hong Wang Xian-wen Liu Mei-fang Chen Liang-wan Chen Yun-tai Yao the Evidence in Cardiovascular Anesthesia (EICA) Group |
| author_sort | Yong Lin |
| collection | DOAJ |
| description | BackgroundTo summarize the current practice of anesthesia management for Chinese patients undergoing off-pump coronary artery bypass (OPCAB) surgery at a large-volume cardiovascular center.Materials and methodsThe 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.ResultsA 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.ConclusionsThe 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. |
| first_indexed | 2024-04-10T05:22:01Z |
| format | Article |
| id | doaj.art-098f56dab66f452497663bd40158be02 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T05:22:01Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-098f56dab66f452497663bd40158be022023-03-08T06:54:37ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10677501067750Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single centerYong Lin0Yong Lin1Tao Sun2Ning-ning Cheng3Jing-jing Liu4Li-xian He5Li-hong Wang6Xian-wen Liu7Mei-fang Chen8Liang-wan Chen9Yun-tai Yao10the Evidence in Cardiovascular Anesthesia (EICA) GroupDepartment of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Anesthesiology, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, ChinaDepartment of Anesthesiology, Binzhou People's Hospital, Binzhou, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Xinxiang Medical College, Xinxiang, ChinaDepartment of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Anesthesiology, Chuiyangliu Hospital of Tsinghua University, Beijing, ChinaDepartment of Anesthesiology, Liaocheng People's Hospital, Liaocheng, ChinaDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, ChinaBackgroundTo summarize the current practice of anesthesia management for Chinese patients undergoing off-pump coronary artery bypass (OPCAB) surgery at a large-volume cardiovascular center.Materials and methodsThe 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.ResultsA 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.ConclusionsThe 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.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1067750/fullcoronary artery bypassanesthesia managementsingle centerretrospectivehemodynamics |
| spellingShingle | Yong Lin Yong Lin Tao Sun Ning-ning Cheng Jing-jing Liu Li-xian He Li-hong Wang Xian-wen Liu Mei-fang Chen Liang-wan Chen Yun-tai Yao the Evidence in Cardiovascular Anesthesia (EICA) Group Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center Frontiers in Surgery coronary artery bypass anesthesia management single center retrospective hemodynamics |
| title | Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center |
| title_full | Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center |
| title_fullStr | Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center |
| title_full_unstemmed | Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center |
| title_short | Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective study of single center |
| title_sort | anesthesia management of patients undergoing off pump coronary artery bypass grafting a retrospective study of single center |
| topic | coronary artery bypass anesthesia management single center retrospective hemodynamics |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1067750/full |
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