Seminars in Cardiothoracic and Vascular Anesthesia

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Myles, P. S.
Right arrow Articles by McIlroy, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Myles, P. S.
Right arrow Articles by McIlroy, D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 9, No. 1, 5-16 (2005)
DOI: 10.1177/108925320500900102

Fast-Track Cardiac Anesthesia: Choice of Anesthetic Agents and Techniques

Paul S. Myles, MBBS, MPH, MD

Department of Anaesthesia & Pain Management, Alfred Hospital; Departments of Anaesthesia, and Epidemiology & Preventive Medicine, Monash University; Centre for Clinical Research Excellence, Canberra, Australiap.myles{at}alfred.org.au

David McIlroy, MBBS

Department of Anaesthesia & Pain Management, Alfred Hospital, Australia

Fast-track cardiac anesthesia (FTCA) incorporates early tracheal extubation, decreased length of intensive care unit (ICU) and hospital stay, and (ideally) should avoid or reduce complications to safely achieve cost-savings. A growing body of evidence from randomized trials has identified many anesthetic interventions that can improve outcome after cardiac surgery. These include new short-acting hypnotic, opioid, and neuromuscular blocking drugs. An effective FTCA program requires the appropriate selection of suitable patients, a lowdose opioid anesthetic technique, early tracheal extubation, a short stay in the ICU, and coordinated perioperative care. It is also dependent on the avoidance of postoperative complications such as excessive bleeding, myocardial ischemia, low cardiac output state, arrhythmias, sepsis, and renal failure. These complications will have a much greater adverse effect on hospital length of stay and healthcare costs. A number of clinical trials have identified interventions that can reduce some of these complications. The adoption of effective treatments into clinical practice should improve the effectiveness of FTCA.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 ICVTSHome page
N. Noiseux, D. Bracco, I. Prieto, and T. M. Hemmerling
Do patients after off-pump coronary artery bypass grafting need the intensive care unit? A prospective audit of 85 patients
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 32 - 36.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
T. M. Hemmerling, F. Carli, and N. Noiseux
Thoracic epidural anaesthesia for cardiac surgery: are we missing the point?
Br. J. Anaesth., January 1, 2008; 100(1): 3 - 5.
[Full Text] [PDF]

Home page
 JAMAHome page
W. C. Culp Jr and E. A. Beyer
Preoperative Inspiratory Muscle Training and Postoperative Complications
JAMA, February 21, 2007; 297(7): 697 - 698.
[Full Text] [PDF]