دورية أكاديمية

Is there any benefit in associating neuraxial anesthesia to general anesthesia for coronary artery bypass graft surgery?

التفاصيل البيبلوغرافية
العنوان: Is there any benefit in associating neuraxial anesthesia to general anesthesia for coronary artery bypass graft surgery?
المؤلفون: Barbosa FT; Universidade Federal de Alagoas, Maceió, AL, Brazil. Electronic address: fabianotimbo@yahoo.com.br., de Sousa Rodrigues CF; Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL, Brazil., Castro AA; Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL, Brazil., da Cunha RM; Centro de Ensinos Superiores de Maceió, Maceió, AL, Brazil., Barbosa TR; Centro Universitário Uniseb Interativo, Maceió, AL, Brazil.
المصدر: Brazilian journal of anesthesiology (Elsevier) [Braz J Anesthesiol] 2016 May-Jun; Vol. 66 (3), pp. 304-9. Date of Electronic Publication: 2015 Mar 07.
نوع المنشور: Journal Article; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 101624623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-2291 (Electronic) Linking ISSN: 01040014 NLM ISO Abbreviation: Braz J Anesthesiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Rio de Janeiro : Elsevier Editora Ltda, 2013-
مواضيع طبية MeSH: Coronary Artery Bypass*, Anesthesia, Epidural/*methods , Anesthesia, General/*methods , Anesthesia, Spinal/*methods , Postoperative Complications/*prevention & control, Anesthetics, Combined ; Humans
مستخلص: Background and Objectives: The use of neuraxial anesthesia in cardiac surgery is recent, but the hemodynamic effects of local anesthetics and anticoagulation can result in risk to patients.
Objective: To review the benefits of neuraxial anesthesia in cardiac surgery for CABG through a systematic review of systematic reviews.
Content: The search was performed in Pubmed (January 1966 to December 2012), Embase (1974 to December 2012), The Cochrane Library (volume 10, 2012) and Lilacs (1982 to December 2012) databases, in search of articles of systematic reviews. The following variables: mortality, myocardial infarction, stroke, in-hospital length of stay, arrhythmias and epidural hematoma were analyzed.
Conclusions: The use of neuraxial anesthesia in cardiac surgery remains controversial. The greatest benefit found by this review was the possibility of reducing postoperative arrhythmias, but this result was contradictory among the identified findings. The results of findings regarding mortality, myocardial infarction, stroke and in-hospital length of stay did not show greater efficacy of neuraxial anesthesia.
(Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.)
فهرسة مساهمة: Keywords: Anestesia epidural torácica; Anestesia geral; Anestesia subaracnoidea; Evidence; Evidências; General anesthesia; Mortalidade; Mortality; Revisão sistemática; Subarachnoid anesthesia; Systematic review; Thoracic epidural anesthesia
المشرفين على المادة: 0 (Anesthetics, Combined)
تواريخ الأحداث: Date Created: 20160426 Date Completed: 20170503 Latest Revision: 20181202
رمز التحديث: 20221213
DOI: 10.1016/j.bjane.2013.09.015
PMID: 27108829
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-2291
DOI:10.1016/j.bjane.2013.09.015