Comparison of isoflurane, halothane and fentanyl in patients with decreased ejection fraction undergoing coronary surgery

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dc.contributor.authorUrzua, J
dc.contributor.authorSerra, M
dc.contributor.authorLema, G
dc.contributor.authorCanessa, R
dc.contributor.authorGonzalez, R
dc.contributor.authorMeneses, G
dc.contributor.authorIrarrazaval, M
dc.contributor.authorMoran, S
dc.date.accessioned2024-01-10T13:11:56Z
dc.date.available2024-01-10T13:11:56Z
dc.date.issued1996
dc.description.abstractThe aim of the study was to compare three anaesthetic agents in patients with ejection fraction below 0.40 subjected to coronary revascularization surgery. Twenty-five elective coronary surgical patients with ejection fraction below 0.40 were prospectively studied. Premedication was pethidine 1 mg/kg and induction was fentanyl 0.03 mg/kg and pancuronium 0.1 mg/kg. The patients were randomized to one of three maintenance techniques (fentanyl, isoflurane or halothane).
dc.description.abstractRadial arterial pressure, heart rate, right atrial pressure, pulmonary arterial and occluded pressures, and thermo-dilution cardiac output were measured, and cardiac inner and resistance calculated, at the following times: before induction; 5 min after intubation; 2 min after sternotomy; immediately after discontinuation of bypass, 15 min afterwards; immediately after sternal closure; during suture of the skin; 5 min after arrival in the postoperative care unit; and 60 min postoperatively.
dc.description.abstractMean arterial pressure decreased significantly in the isoflurane group and nonsignificantly in the halothane group after induction. Cardiac index decreased significantly in the isoflurane group and nonsignificantly in the halothane group after induction and after sternotomy. Neither pressure nor flow decreased in patients receiving fentanyl.
dc.description.abstractFollowing weaning from cardiopulmonary bypass, systemic vascular resistance decreased significantly in all groups. Cardiac index, however did not increase above control values and arterial pressure consequently decreased; there was no significant difference between groups.
dc.fechaingreso.objetodigital2024-05-03
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1177/0310057X9602400513
dc.identifier.issn0310-057X
dc.identifier.pubmedidMEDLINE:8909670
dc.identifier.urihttps://doi.org/10.1177/0310057X9602400513
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78116
dc.identifier.wosidWOS:A1996VN21600012
dc.information.autorucMedicina;Canessa R;S/I;55800
dc.information.autorucMedicina;González R;S/I;98827
dc.information.autorucMedicina;Irarrázaval M;S/I;98706
dc.information.autorucMedicina;Lema G;S/I;99835
dc.information.autorucMedicina;Urzúa J;S/I;98495
dc.issue.numero5
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final584
dc.pagina.inicio579
dc.publisherAUSTRALIAN SOC ANAESTHETISTS
dc.revistaANAESTHESIA AND INTENSIVE CARE
dc.rightsregistro bibliográfico
dc.subjectsurgery
dc.subjectcoronary
dc.subjectanaesthetics, volatile
dc.subjecthalothane
dc.subjectisoflurane
dc.subjectanaesthetics, intravenous
dc.subjectfentanyl
dc.subjectCHRONICALLY INSTRUMENTED DOG
dc.subjectARTERY BYPASS-SURGERY
dc.subjectINTRAOPERATIVE HYPERTENSION
dc.subjectBLOOD-FLOW
dc.subjectCARDIOPULMONARY BYPASS
dc.subjectVOLATILE ANESTHETICS
dc.subjectDESFLURANE
dc.subjectENFLURANE
dc.subjectDISEASE
dc.subjectCONTRACTILITY
dc.titleComparison of isoflurane, halothane and fentanyl in patients with decreased ejection fraction undergoing coronary surgery
dc.typeartículo
dc.volumen24
sipa.codpersvinculados55800
sipa.codpersvinculados98827
sipa.codpersvinculados98706
sipa.codpersvinculados99835
sipa.codpersvinculados98495
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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