Combined anesthesia for off-pump coronary artery bypass grafting in patients with visceral obesity

Вестник анестезиологии и реаниматологии

卷:17

M. I. Turovets¹  A. M. Streltsova¹  S. M. Shlakhter¹ 

[1] Volgograd State Medical University;

关键词: off-pump coronary artery bypass grafting;    prevention of complication;    visceral obesity;    thoracic epidural analgesia;   

DOI  :  10.21292/2078-5658-2020-17-3-17-23

来源: DOAJ

【 摘 要 】

The objective: to analyze results of the use of combined anesthesia for coronary artery bypass grafting without cardiopulmonary bypass (off-pump CABG) in patients with visceral obesity (VO). Subjects and methods. A randomized study of results of surgical treatment in patients with VO and coronary heart disease who underwent off-pump CABG was conducted. 197 patients were included in the study. The main group (n = 98) included patients who underwent combined anesthesia (with thoracic epidural analgesia (TEA)) and patients in the control group (n = 99) underwent total intravenous anesthesia (with narcotic analgesics). Results. In patients from the main group, a significant decrease in the incidence of acute kidney injury (p = 0.0180), respiratory complications (p = 0.0177), atrial and ventricular arrhythmias (p = 0.0029) was recorded. With the use of TEA, the duration of treatment of patients in the intensive care unit (p = 0.0229) and duration of hospital stay (p = 0.0419) significantly decreased. Conclusion: The use of combined anesthesia (with TEA) for off-pump CABG in patients with visceral obesity reduces the risk of early postoperative complications, the duration of hospital stay and treatment in the intensive care unit.

【 授权许可】

Unknown