Epidurals for Cardiac Surgery

Pros and cons of epidurals with local for orthopaedic surgery

cardiac surgery for adults

the prospect of surgery can be frightening and more extensive surgery is included more anxious . knowledge of how to surgery reduces anxiety. hence,our goals are as follows :   what conditions can cause heart surgery? the majority of adults who should be considered for cardiac surgery , suffer from the disease of the heart valves or coronary artery disease or both.also, a few of them have conge...

Congenital Hypofibrinogenemia Detected during Preoperative Workup for Major Cardiac Surgery

Afibrinogenemia or hypofibrinogenemia is a quantitative defect in fibrinogen. It is a rare disease with estimated frequency of 1 in 1,000,000 population. Routine preoperative screening tests of coagulation disorders are insufficient to detect subtle disorders of fibrinogen. Herein, we report a child who was supposed to undergo open cardiac surgery for a large atrial septal defect. Preoperative ...

Epidurals for cardiac surgery: can we substantially reduce surgical morbidity or should we focus on quality of recovery?

I N this issue of ANESTHESIOLOGY, there are three articles that show no benefit, some benefit, or considerable benefit to the use of high thoracic epidural analgesia (HTEA) in cardiac surgery. The fundamental difference relates to the outcomes being measured and perhaps an unrealistic expectation of the potential effect size from an anesthetic intervention on surgical outcomes (morbidity or mor...

Anesthesia Issues in Cardiac Surgery

The principle of anaesthesia for open-heart surgery is based on simplicity, safty and light­plane of anaesthesia. As a result of the special pathophysiology, grave general status, compli­cations threatening these patients during and after the operation and the abundance of medicines available nowadays, it is very important for the anaesthetist to be acquainted with the pathophysiological and ph...