Anest. intenziv. Med. 2002;13(5):203-205
Fast-track Anaesthesia with Alfentanil in Heart Valves SurgeryArticles
- Kardiochirurgické oddělení UK, 3. LF a FNKV, Praha, přednosta doc. MUDr. Z. Straka, CSc.
The authors describe their experience with 22 patients who underwent the fast-tract anaesthesia with alfentanil for the lesion of aortic valve,ascending aorta or mitral valve. 8 patients had moderate risk for the surgery (EuroSCORE 3-5) and 11 patients had high risk for the surgery(EuroSCORE>6). 8 patients (36.3%) were extubated 10 minutes after the end of the procedure in the operating room. The average time of mechanicalventilation in other patients was 51±45 minutes. No patient was reintubated for the respiratory or cardiac failure. Average length of stay in the intensivecare unit was 2.2±1.4 days. No patient died in 30 postoperative days. The authors'opinion is that the fast-track anaesthesia with alfentanil and withoutthoracic epidural analgesia is also suitable for cardiac surgery requiring cardiopulmonary bypass in high risk patients.
Keywords: fast-track anaesthesia; alfentanil; heart valves surgery
Published: October 1, 2002 Show citation