High Thoracic Epidural Analgesia for Cardiac Surgery: An Audit of 874 Cases

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Thoracic epidural analgesia after cardiac surgery.

To the Editor:—In a recent letter, Erickson and Lanier reported on a useful method to preoxygenate claustrophobic patients who will not tolerate a facemask, by having the patients hold the L-connector of the anesthesia circuit in their mouth. They may be interested to know that an identical method, complete with an almost identical photograph, was published as a correspondence by Keifer and Sti...

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Thoracic Epidural Analgesia after Cardiac Surgery

To the Editor:—In a recent letter, Erickson and Lanier reported on a useful method to preoxygenate claustrophobic patients who will not tolerate a facemask, by having the patients hold the L-connector of the anesthesia circuit in their mouth. They may be interested to know that an identical method, complete with an almost identical photograph, was published as a correspondence by Keifer and Sti...

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The Effectiveness of Preemptive Thoracic Epidural Analgesia in Thoracic Surgery

BACKGROUND The aim of this study is to investigate the effectiveness of preemptive thoracic epidural analgesia (TEA) comparing conventional postoperative epidural analgesia on thoracotomy. MATERIAL AND METHODS Forty-four patients were randomized in to two groups (preemptive: Group P, control: Group C). Epidural catheter was inserted in all patients preoperatively. In Group P, epidural analges...

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Thoracic epidural anesthesia for cardiac surgery

cardiac surgery has its roots in the groundbreaking work by Blomberg et al.1–4 Following this examination of the effect of TEA on patients with coronary artery disease, others including this author were enthused to apply these findings to patients undergoing cardiac surgery. Throughout the 90’s, additional work was done to document the role of TEA in cardiac surgery. The major impediment to bro...

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Thoracic epidural analgesia

We read with great interest the editorial by Kamming and Davies [1] regarding the choice of thoracic epidural anaesthesia in cardiac surgery. While the authors provided an interesting analysis, we believe their conclusion regarding the 50% chance of this technique’s failure warrants further comment. Kamming and Davies reported that in two large studies [2,3] ‘epidurals have failed to achieve ad...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2007

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x0703500309