Back to Search Start Over

High Thoracic Epidural Anesthesia and Dexmedetomidine for Awake Off-Pump Coronary Artery Bypass Grafting: A Feasible Option for Patients with Severe Pulmonary Disease

Authors :
Neeraj K Barnwal
Vinil S Bhaskar
Kamlesh L Jain
Source :
Annals of Cardiac Anaesthesia, Vol 26, Iss 3, Pp 321-324 (2023)
Publication Year :
2023
Publisher :
Wolters Kluwer Medknow Publications, 2023.

Abstract

High thoracic epidural anesthesia in cardiac surgery as the sole anesthetic technique is used in a select groups of patients having severe pulmonary co morbidities. We describe a case series of three patients at high risk for post operative pulmonary complications where this technique was used along with dexmedetomidine infusion for conscious sedation in off pump coronary artery bypass grafting. Proper selection of patients, proper placement of the epidural catheter at the appropriate level and timing of catheter insertion and removal are of paramount importance.

Details

Language :
English
ISSN :
09719784
Volume :
26
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Annals of Cardiac Anaesthesia
Publication Type :
Academic Journal
Accession number :
edsdoj.8ecc19d7c12540279b165b15bbe406e7
Document Type :
article
Full Text :
https://doi.org/10.4103/aca.aca_153_22