Journal article
Impact of high spinal anesthesia technique on fast-track strategy in cardiac surgery: retrospective study
Regional anesthesia and pain medicine, Vol.45(1), pp.22-26
01/01/2020
DOI: 10.1136/rapm-2018-100213
PMID: 31772035
Abstract
Background and objectives Although high spinal anesthesia (HSA) has been used in cardiac surgery, the technique has not yet been widely accepted. This retrospective study was designed to investigate the impact of HSA technique on fast-track strategy in cardiac surgery.
Methods Elective cardiac surgery cases (n=1025) were divided into two groups: cases with HSA combined with general anesthesia (GA) (HSA group, n=188) and cases with GA only (GA group, n=837). In the HSA group, bupivacaine and morphine were intrathecally administered immediately before GA was induced. Outcomes included fast-track extubation (less than 6 hours), extubation in the operating room, fast-track discharge from the intensive care unit (ICU) (less than 48 hours) and hospital (less than 7 days).
Results In the HSA group, 60.1% were extubated in less than 6 hours after ICU admission, as compared with 39.9% in the GA group (p<0.001). In the HSA group, 33.0% were extubated in the operating room, as compared with 4.4% in the GA group (p<0.001). LOS in the ICU was less than 48 hours in 67.6% in the HSA group, as compared with 57.2% of those in the GA group (p=0.033). LOS in the hospital was less than 7 days in 63.3% in the HSA group, as compared with 53.5% in the GA group (p=0.084).
Conclusions HSA technique combined with GA in cardiac surgery increased the rate of fast-track extubation (less than 6 hours) when compared with GA only.
Details
- Title: Subtitle
- Impact of high spinal anesthesia technique on fast-track strategy in cardiac surgery: retrospective study
- Creators
- Satoshi Hanada - University of Iowa Hospitals and ClinicsAtsushi Kurosawa - Asahikawa Medical UniversityBenjamin Randall - Intermountain Medical CenterTheodore Van der Horst - Mayo Clinic Health SystemKenichi Ueda - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine, Vol.45(1), pp.22-26
- Publisher
- Bmj Publishing Group
- DOI
- 10.1136/rapm-2018-100213
- PMID
- 31772035
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Number of pages
- 5
- Grant note
- UL1TR002537 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Department of Anesthesia at the University of Iowa Hospitals and Clinics University of Iowa Clinical and Translational Science Award
- Language
- English
- Date published
- 01/01/2020
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296143402771
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