Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity
The objective: to analyze results of the use of combined anesthesia for coronary artery bypass grafting without cardiopulmonary bypass (off-pump CABG) in patients with visceral obesity (VO). Subjects and methods. A randomized study of results of surgical treatment in patients with VO and coronary he...
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NEW TERRA Publishing House
2020-06-01
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doaj-3ef95af827b2408c84c9fe297a2f495b2021-07-28T13:37:21ZrusNEW TERRA Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-06-01173172310.21292/2078-5658-2020-17-3-17-23379Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesityM. I. Turovets0S. M. Shlakhter1A. M. Streltsova2Volgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityThe objective: to analyze results of the use of combined anesthesia for coronary artery bypass grafting without cardiopulmonary bypass (off-pump CABG) in patients with visceral obesity (VO). Subjects and methods. A randomized study of results of surgical treatment in patients with VO and coronary heart disease who underwent off-pump CABG was conducted. 197 patients were included in the study. The main group (n = 98) included patients who underwent combined anesthesia (with thoracic epidural analgesia (TEA)) and patients in the control group (n = 99) underwent total intravenous anesthesia (with narcotic analgesics). Results. In patients from the main group, a significant decrease in the incidence of acute kidney injury (p = 0.0180), respiratory complications (p = 0.0177), atrial and ventricular arrhythmias (p = 0.0029) was recorded. With the use of TEA, the duration of treatment of patients in the intensive care unit (p = 0.0229) and duration of hospital stay (p = 0.0419) significantly decreased. Conclusion: The use of combined anesthesia (with TEA) for off-pump CABG in patients with visceral obesity reduces the risk of early postoperative complications, the duration of hospital stay and treatment in the intensive care unit.https://www.vair-journal.com/jour/article/view/434off-pump coronary artery bypass graftingprevention of complicationvisceral obesitythoracic epidural analgesia |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
M. I. Turovets S. M. Shlakhter A. M. Streltsova |
spellingShingle |
M. I. Turovets S. M. Shlakhter A. M. Streltsova Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity Вестник анестезиологии и реаниматологии off-pump coronary artery bypass grafting prevention of complication visceral obesity thoracic epidural analgesia |
author_facet |
M. I. Turovets S. M. Shlakhter A. M. Streltsova |
author_sort |
M. I. Turovets |
title |
Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
title_short |
Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
title_full |
Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
title_fullStr |
Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
title_full_unstemmed |
Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
title_sort |
combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity |
publisher |
NEW TERRA Publishing House |
series |
Вестник анестезиологии и реаниматологии |
issn |
2078-5658 2541-8653 |
publishDate |
2020-06-01 |
description |
The objective: to analyze results of the use of combined anesthesia for coronary artery bypass grafting without cardiopulmonary bypass (off-pump CABG) in patients with visceral obesity (VO). Subjects and methods. A randomized study of results of surgical treatment in patients with VO and coronary heart disease who underwent off-pump CABG was conducted. 197 patients were included in the study. The main group (n = 98) included patients who underwent combined anesthesia (with thoracic epidural analgesia (TEA)) and patients in the control group (n = 99) underwent total intravenous anesthesia (with narcotic analgesics). Results. In patients from the main group, a significant decrease in the incidence of acute kidney injury (p = 0.0180), respiratory complications (p = 0.0177), atrial and ventricular arrhythmias (p = 0.0029) was recorded. With the use of TEA, the duration of treatment of patients in the intensive care unit (p = 0.0229) and duration of hospital stay (p = 0.0419) significantly decreased. Conclusion: The use of combined anesthesia (with TEA) for off-pump CABG in patients with visceral obesity reduces the risk of early postoperative complications, the duration of hospital stay and treatment in the intensive care unit. |
topic |
off-pump coronary artery bypass grafting prevention of complication visceral obesity thoracic epidural analgesia |
url |
https://www.vair-journal.com/jour/article/view/434 |
work_keys_str_mv |
AT miturovets combinedanesthesiaforoffpumpcoronaryarterybypassgraftinginpatientswithvisceralobesity AT smshlakhter combinedanesthesiaforoffpumpcoronaryarterybypassgraftinginpatientswithvisceralobesity AT amstreltsova combinedanesthesiaforoffpumpcoronaryarterybypassgraftinginpatientswithvisceralobesity |
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1721272426448289792 |