Document Detail


474686 - perioperative morbidity and coronary revascularazation surgery.
MedLine Citation:
PMID:  18753554     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Introduction: Coronary artery bypass graft (CABG) surgery is performed either with or without cardiopulmonary bypass (CPB). The objective of this study was to determine perioperative morbidity with the conventional on-pump, off-pump, and off-pump converted to on-pump CABG surgery. METHODS: After REB approval we examined data collected prospectively on patients undergoing primary elective CABG surgery as part of an Anesthesia Perioperative Outcomes Database. Based on the type of CABG surgery all patients were classed into three groups: conventional on-pump, off-pump, and off-pump converted to on-pump. Patients were matched for age, sex, and preoperative risk factors. Perioperative parameters, and postoperative complications were evaluated using univariate analysis. RESULTS: A total of 330 patients were studied. Anesthesia and surgical management were standardized. The reasons for conversion included intra myocardial left anterior descending artery and hemodynamic instability. The number of grafts performed in the Off pump group was lower compared to CPB and Off pump converted groups; 2.8+/-0.9, 3.6+/-1; 3.4+/-1, p=0.001, respectively. Blood product transfusion rates, duration of intubation, prevalence of atrial fibrillation, and length of hospital stay are presented in the table.Discussion: Blood product transfusion rates and hospital length of stay were increased in the Off pump converted group. Postoperative atrial fibrillation was more frequent in the On-pump group. The present study demonstrates that intraoperative conversion from elective off-pump surgery to on-pump surgery is associated with higher blood product transfusion rates and longer hospital length of stay.References: NoneTable 1.
Authors:
Ronit Lavi; Jacek Karski; Robert James Cusimano; Jo Carroll; George Djaiani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  55 Suppl 1     ISSN:  0832-610X     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-08-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  474686     Citation Subset:  IM    
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