Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients
Autor(a) principal: | |
---|---|
Data de Publicação: | 2002 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001200009 |
Resumo: | OBJECTIVE: To report initial experience with myocardial revascularization surgery (MRS) performed on patients who were totally awake and without an endotracheal tube.METHODS: Between January 1994 and May 2001, 272 patients underwent MRS without extracorporeal circulation. In 24, the operations were performed without the use of an endotracheal tube and with the patients totally awake and breathing normally. The age ranged from 51-75 years with the predominant male sex. Epidural thoracic administratios of the anesthesia was performed. Surgery was performed through a habitual anterolateral thoracotomy. During the entire procedure, the left lung remained partially collapsed.RESULTS: The 24 patients progressed well through the surgery. Pneumothorax time ranged from 70-190 minutes. No electrocardiographic, echocardiographic, or enzymatic alterations occurred that characterized pre- and postoperative infarcts. Twenty-three patients were stable enough to be released after 24 hours.CONCLUSION: This technique could be performed on an large number of selected patients. However, more experience is necessary. |
id |
SBC-1_7495045c311b28c8cec359e4e640b44d |
---|---|
oai_identifier_str |
oai:scielo:S0066-782X2002001200009 |
network_acronym_str |
SBC-1 |
network_name_str |
Arquivos Brasileiros de Cardiologia (Online) |
repository_id_str |
|
spelling |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patientscoronary artery leypass graftepidural thoracic anesthesiaOBJECTIVE: To report initial experience with myocardial revascularization surgery (MRS) performed on patients who were totally awake and without an endotracheal tube.METHODS: Between January 1994 and May 2001, 272 patients underwent MRS without extracorporeal circulation. In 24, the operations were performed without the use of an endotracheal tube and with the patients totally awake and breathing normally. The age ranged from 51-75 years with the predominant male sex. Epidural thoracic administratios of the anesthesia was performed. Surgery was performed through a habitual anterolateral thoracotomy. During the entire procedure, the left lung remained partially collapsed.RESULTS: The 24 patients progressed well through the surgery. Pneumothorax time ranged from 70-190 minutes. No electrocardiographic, echocardiographic, or enzymatic alterations occurred that characterized pre- and postoperative infarcts. Twenty-three patients were stable enough to be released after 24 hours.CONCLUSION: This technique could be performed on an large number of selected patients. However, more experience is necessary.Sociedade Brasileira de Cardiologia - SBC2002-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001200009Arquivos Brasileiros de Cardiologia v.79 n.3 2002reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2002001200009info:eu-repo/semantics/openAccessSouto,Gladyston Luiz LimaCaetano Júnior,Celme da SilvaPaula Filho,Ary Getúlio deTeixeira,Marco AntonioCarvalho,Márcio Roberto Moraes deSilva,Antonio Carlos Botelho daeng2002-10-09T00:00:00Zoai:scielo:S0066-782X2002001200009Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2002-10-09T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
title |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
spellingShingle |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients Souto,Gladyston Luiz Lima coronary artery leypass graft epidural thoracic anesthesia |
title_short |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
title_full |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
title_fullStr |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
title_full_unstemmed |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
title_sort |
Myocardial Revascularization Surgery with Regional Anesthesia Without an Endotracheal Tube in Conscious Patients |
author |
Souto,Gladyston Luiz Lima |
author_facet |
Souto,Gladyston Luiz Lima Caetano Júnior,Celme da Silva Paula Filho,Ary Getúlio de Teixeira,Marco Antonio Carvalho,Márcio Roberto Moraes de Silva,Antonio Carlos Botelho da |
author_role |
author |
author2 |
Caetano Júnior,Celme da Silva Paula Filho,Ary Getúlio de Teixeira,Marco Antonio Carvalho,Márcio Roberto Moraes de Silva,Antonio Carlos Botelho da |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Souto,Gladyston Luiz Lima Caetano Júnior,Celme da Silva Paula Filho,Ary Getúlio de Teixeira,Marco Antonio Carvalho,Márcio Roberto Moraes de Silva,Antonio Carlos Botelho da |
dc.subject.por.fl_str_mv |
coronary artery leypass graft epidural thoracic anesthesia |
topic |
coronary artery leypass graft epidural thoracic anesthesia |
description |
OBJECTIVE: To report initial experience with myocardial revascularization surgery (MRS) performed on patients who were totally awake and without an endotracheal tube.METHODS: Between January 1994 and May 2001, 272 patients underwent MRS without extracorporeal circulation. In 24, the operations were performed without the use of an endotracheal tube and with the patients totally awake and breathing normally. The age ranged from 51-75 years with the predominant male sex. Epidural thoracic administratios of the anesthesia was performed. Surgery was performed through a habitual anterolateral thoracotomy. During the entire procedure, the left lung remained partially collapsed.RESULTS: The 24 patients progressed well through the surgery. Pneumothorax time ranged from 70-190 minutes. No electrocardiographic, echocardiographic, or enzymatic alterations occurred that characterized pre- and postoperative infarcts. Twenty-three patients were stable enough to be released after 24 hours.CONCLUSION: This technique could be performed on an large number of selected patients. However, more experience is necessary. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001200009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001200009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2002001200009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.79 n.3 2002 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
_version_ |
1752126552418549760 |