The use of epidural anesthesia in coronary surgery: pro and contra. Review
| Autor: | M.Yu. Kirov, D.A. Volkov, A. V. Eremeev, K. V. Paromov |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Annals of Critical Care. :86-95 |
| ISSN: | 1818-474X 1726-9806 |
| DOI: | 10.21320/1818-474x-2020-2-86-95 |
| Popis: | The cardiovascular diseases have top-rated place amongst causes of death all around the world. The leading cardiovascular pathology is coronary artery disease; its course is dependent on severity of atherosclerotic lesion of coronary vessels. Coronary artery bypass grafting (CABG) is one from the most often performed medical techniques of coronary revascularization but has a high risk of perioperative respiratory complications, myocardial infarction, dysrhythmias, kidney dysfunction and other problems. High thoracic epidural anesthesia (HTEA) and analgesia provides sympathetic nerve block of cardiac dermatomes, decreases perioperative stress and pain after CABG, and has a protective role regarding cardiac and respiratory functions. These effects of HTEA are confirmed by a number of studies and systematic reviews. Apart from evident benefits of HTEA, there are restrictions for its use in cardiac surgery associated with increased risk of epidural hematoma followed by neurological consequences. In our review, we describe physiological effects and clinical aspects of using HTEA in coronary surgery. |
| Databáze: | OpenAIRE |
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