Thoracic epidural anesthesia for coronary bypass via left anterior thoracotomy in the conscious patient

Cardiac surgery is perceived to be maximally invasive and fraught with complications. Secondary to this, cardiothoracic surgeons have been refining traditional techniques to minimize their invasive nature. Epidural anesthesia has been utilized safely and effectively for numerous surgical procedures...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2001-08, Vol.20 (2), p.415-417
Main Authors: Anderson, M.B., Kwong, K.F., Furst, A.J., Salerno, T.A.
Format: Article
Language:English
Subjects:
Anesthesia, Epidural - methods
Biological and medical sciences
Coronary Artery Bypass - methods
Coronary artery bypass grafting
Humans
Male
Medical sciences
Middle Aged
Minimally Invasive Surgical Procedures
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thoracic epidural anesthesia
Thoracotomy
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Summary:Cardiac surgery is perceived to be maximally invasive and fraught with complications. Secondary to this, cardiothoracic surgeons have been refining traditional techniques to minimize their invasive nature. Epidural anesthesia has been utilized safely and effectively for numerous surgical procedures to reduce the associated morbidity. In hopes of achieving a similar result, we utilized thoracic epidural anesthesia for a coronary artery bypass via a left anterior thoracotomy, in an awake, spontaneously breathing patient. To the best of our knowledge, this is the first reported case utilizing this approach. Herein we report the results and technique utilized.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(01)00831-4