Comparison of anaesthetic management between emergent and selective(off-pump) coronary artery bypass grafting
- VernacularTitle:急诊与择期非体外循环冠状动脉旁路移植术的麻醉管理比较
- Author:
Qing ZHENG
;
Jianyu JIANG
;
Liping ZHANG
- Publication Type:Journal Article
- Keywords:
Off-pump coronary artery bypass grafting;
Preoperative assessment;
Hemodynamics;
Coagulation function
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the peri-operative anaesthetic management between emergent and selective operations of(off-pump) coronary artery bypass grafting(OPCAB).Methods A retrospective review was conducted on clinical data of 50 cases of OPCAB from January 2001 to December 2004 in this hospital,including 30 emergent operations(Emergent Group) and 20 elective operations(Selective Group).The preoperative assessment and preparation,hemodynamic changes,vasoactive agent usage,hemostatic functions,and postoperative outcomes were compared between the two groups.Results ①The risk assessment score was greater in the Emergent Group(18.56?5.12) than in the Selective Group(8.98?3.12)(t=-7.479,P=0.000),and the application rate of(intra-aortic) balloon pump assist device(IABP) before the operation was higher in the Emergent Group(93%) than in the Selective Group(50%)(?~2=12.354,P
