High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease
High thoracic epidural anesthesia in cardiac surgery as the sole anesthetic technique is used in a select groups of patients having severe pulmonary co morbidities. We describe a case series of three patients at high risk for post operative pulmonary complications where this technique was used along...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=3;spage=321;epage=324;aulast=Barnwal |
| _version_ | 1797738874272743424 |
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| author | Neeraj K Barnwal Vinil S Bhaskar Kamlesh L Jain |
| author_facet | Neeraj K Barnwal Vinil S Bhaskar Kamlesh L Jain |
| author_sort | Neeraj K Barnwal |
| collection | DOAJ |
| description | High thoracic epidural anesthesia in cardiac surgery as the sole anesthetic technique is used in a select groups of patients having severe pulmonary co morbidities. We describe a case series of three patients at high risk for post operative pulmonary complications where this technique was used along with dexmedetomidine infusion for conscious sedation in off pump coronary artery bypass grafting. Proper selection of patients, proper placement of the epidural catheter at the appropriate level and timing of catheter insertion and removal are of paramount importance. |
| first_indexed | 2024-03-12T13:49:10Z |
| format | Article |
| id | doaj.art-8ecc19d7c12540279b165b15bbe406e7 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-03-12T13:49:10Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-8ecc19d7c12540279b165b15bbe406e72023-08-23T07:27:09ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842023-01-0126332132410.4103/aca.aca_153_22High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary DiseaseNeeraj K BarnwalVinil S BhaskarKamlesh L JainHigh thoracic epidural anesthesia in cardiac surgery as the sole anesthetic technique is used in a select groups of patients having severe pulmonary co morbidities. We describe a case series of three patients at high risk for post operative pulmonary complications where this technique was used along with dexmedetomidine infusion for conscious sedation in off pump coronary artery bypass grafting. Proper selection of patients, proper placement of the epidural catheter at the appropriate level and timing of catheter insertion and removal are of paramount importance.http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=3;spage=321;epage=324;aulast=Barnwalawake coronary artery bypass graftinghigh thoracic epidural anaesthesiarestrictive lung disease |
| spellingShingle | Neeraj K Barnwal Vinil S Bhaskar Kamlesh L Jain High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease Annals of Cardiac Anaesthesia awake coronary artery bypass grafting high thoracic epidural anaesthesia restrictive lung disease |
| title | High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease |
| title_full | High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease |
| title_fullStr | High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease |
| title_full_unstemmed | High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease |
| title_short | High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease |
| title_sort | high thoracic epidural anesthesia and dexmedetomidine for awake off pump coronary artery bypass grafting a feasible option for patients with severe pulmonary disease |
| topic | awake coronary artery bypass grafting high thoracic epidural anaesthesia restrictive lung disease |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=3;spage=321;epage=324;aulast=Barnwal |
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