|
Sign In to gain access to subscriptions and/or personal tools.
|
Future Directions in Cardiac and Vascular Anesthesia: Unanswered Questions Regarding Variables Controllable by Anesthetic Management
David L. Reich, MD
Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1010, New York, NY 10029
The influence of anesthetic choices and techniques upon outcomes in cardiac surgery is difficult to ascertain because of the low incidence of morbid and fatal outcomes that are attributable to anesthetic management. This discussion summarizes several areas that have been addressed in clinical trials, including temperature management, intraoperative hemodynamics, and glucose control.
References
- Frank SM, Fleisher LA, Breslow MJ, et al: Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events: A randomized clinical trial. JAMA 277:1127-1134, 1997.[Abstract/Free Full Text]
- Kurz A, Sessler DI, Lenhardt R: Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization. N Engl J Med 334:1209-1215, 1996.[Abstract/Free Full Text]
- Pryor KO, Fahey TJ 3rd, Lien CA, et al: Surgical site infection and the routine use of perioperative hyperoxia in a general surgical population: A randomized controlled trial. JAMA 291:79-87, 2004.[Abstract/Free Full Text]
- Grigore AM, Grocott HP, Mathew JP, et al: The rewarming rate and increased peak temperature alter neurocognitive outcome after cardiac surgery. Anesth Analg 94:4-10, 2002.[Abstract/Free Full Text]
- Van den Berghe G, Wouters P, Weekers F, et al: Intensive insulin therapy in the critically ill patients. N Engl J Med 345:1359-1367, 2001.[Abstract/Free Full Text]
- Furnary AP, Wu Y, Bookan SO, et al: Effect of hyperglycemia and continuous intravenous insulin infusions on outcomes of cardiac surgical procedures. The Portland Diabetic Project. Endocr Pract 10 (Suppl 2):21-33, 2004.
- Reich DL, Bodian CA, Krol M, et al: Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass grafting. Anesth Analg 89:814-822, 1999.[Abstract/Free Full Text]
- Reich DL, Bennett-Guerrero E, Bodian CA, et al: Intraoperative tachycardia and hypotension are independently associated with adverse outcome in noncardiac surgery of long duration. Anesth Analg 95:273-277, 2002.[Abstract/Free Full Text]
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 1,
3-5 (2006)
DOI: 10.1177/108925320601000102

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
G. Silvay, J. G. Castillo, J. Chikwe, B. Flynn, and F. Filsoufi
Cardiac Anesthesia and Surgery in Geriatric Patients
Seminars in Cardiothoracic and Vascular Anesthesia,
March 1, 2008;
12(1):
18 - 28.
[Abstract]
[PDF]
|
 |
|
|
|