Awake OPCAB: Initial Experience.
- Author:
Kuk Hui SON
1
;
Kwang Ree CHO
;
Ki Bong KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. kimkb@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Coronary artery bypass grafting;
Anesthesia;
Epidural anesthesia
- MeSH:
Anesthesia;
Anesthesia, Epidural;
Anesthesia, General;
Chest Tubes;
Coronary Angiography;
Coronary Artery Bypass;
Coronary Artery Bypass, Off-Pump;
Female;
Hemothorax;
Humans;
Intubation;
Male;
Mortality;
Pneumothorax;
Respiration, Artificial;
Sternotomy;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(8):598-603
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: High thoracic epidural anesthesia allows awake coronary artery bypass grafting, avoiding the drawbacks of mechanical ventilation and general anesthesia. Materian and Method: From April, 2005 to September, 2005, 12 patients were underwent awake coronary artery bypass grafting using high thoracic epidural anesthesia. There were 1 female and 11 male patients, with a mean age of 66+/-6 years. Off pump coronary artery bypass grafting was performed through a median sternotomy using arterial grafts. RESULT: There were no mortality. Pneumothorax was developed during surgery in 8 patients. Five patients required secondary intubation because of pneumothorax (n=3), bowel herniation (n=1), and hemothorax after chest tube insertion (n=1). Postoperative coronary angiography was performed before discharge in all patients and all the grafts were patent. CONCLUSION: Our intial experience demonstrated the feasibility of awake off-pump coronary artery bypass grafting. Further study is required to define the indications, advantages and limitations of this strategy.
