Induction of anaesthesia in coronary artery bypass graft surgery in elderly patients: Sevofluran-fentanyl versus midazolam-fentanyl
Küçük Resim Yok
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We designed this study to compare the effects of sevoflurane-fentanyl and midazolam fentanyl during anesthetic induction in elderly patients in coronary artery bypass graft (CABG) surgery. Forty patients aged more than 65 years who underwent elective CABG surgery were included in this study. Anaesthesia was induced with sevoflurane 6% within 100% oxygen in Group S (n=20) and with midazolam, 0.2 mg kg-1, in Group M (n=20). Both techniques were supplemented by fentanyl, 5 ?g kg-1, and muscle relaxation was obtained with cis-atracurium, 0.1 mg kg-1. Time to loss of the consciousness, loss of eyelash reflex and intubation were recorded during induction in both of the groups. Heart rate and mean arterial blood pressure were recorded at baseline (T0), post-induction (T1), pre-intubation (T2), from the first minute with two-minute intervals for five minutes in post-intubation period (T3,T4,T5), post-incision (T6) and post-sternotomy (T7). Central venous pressure, mean pulmonary artery pressure, pulmonary capillary wedge pressure, cardiac index, systemic vascular resistance index, and pulmonary vascular resistance index were measured at T0, T1, T3, T6, and T7. Patient's satisfaction scores were obtained postoperatively. We concluded that inhalation induction with sevoflurane-fentanyl in elderly patients is fast, smooth and hemodynamically safe, similar to induction with intravenous agents in cardiac surgery.
Açıklama
Anahtar Kelimeler
Coronary bypass surgery, Elderly, Induction of anaesthesia, Midazolam, Sevoflurane
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
12
Sayı
1
