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A survey of peri-operative use of magnesium sulphate in adult cardiac surgery in the UK

โœ Scribed by A. Roscoe; A. B. Ahmed


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
317 KB
Volume
58
Category
Article
ISSN
0003-2409

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โœฆ Synopsis


This prospective observational study aimed to assess the feasibility and efficacy of bilateral continuous paravertebral blockade combined with general anaesthesia in "on-pump" cardiac surgery. One hundred and eleven elective patients had two paravertebral catheters inserted: one either side of the midline within 2.5 cm of the spinous process of the third or fourth thoracic vertebrae, through which a mixture of ropivacaine and fentanyl was infused during and after surgery. In the first 47 patients, haemodynamic and analgesia data were recorded. In all patients, time to tracheal extubation, length of stay in the intensive care unit and the hospital, morbidity and mortality, and any complication attributable to the regional blockade were recorded. The technique was associated with good haemodynamic stability, good postoperative analgesia and short times to tracheal extubation, with few significant complications.


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