当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > Remifentanil in cardiac surgery: a meta-analysis of randomized controlled trials.

Remifentanil in cardiac surgery: a meta-analysis of randomized controlled trials.

Abstract：

OBJECTIVE:The authors conducted a review of randomized controlled trials to identify advantages in clinically relevant outcomes in patients undergoing cardiac surgery with remifentanil. DESIGN:Meta-analysis. SETTING:Hospitals. PARTICIPANTS:A total of 1,473 patients from 16 randomized trials. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULT:PubMed, BioMedCentral, and conference proceedings were searched (updated May 2010) for randomized trials that compared remifentanil with fentanyl or sufentanil in cardiac anesthesia. Four independent reviewers performed data extraction, with divergences resolved by consensus. Overall analysis showed that the use of remifentanil was associated with a significant reduction in postoperative mechanical ventilation (WMD = -139 min [-244, -32], p for effect = 0.01, p for heterogeneity < 0.001, I(2) = 89%); length of hospital stay (WMD = -1.08 days [-1.60, -0.57], p for effect < 0.0001, p for heterogeneity = 0.004, I(2) = 71%); and cardiac troponin-I release (WMD = -2.08 ng/mL [-3.93, -0.24], p for effect = 0.03, p for heterogeneity < 0.02, I(2) = 74%). No difference was noted in mortality (3/344 [0.87%] in the remifentanil group vs [1.06%] the control group, OR 0.76 [0.17-3.38], p for effect = 0.72, p for heterogeneity = 0.35, I(2) = 5%). CONCLUSIONS:Remifentanil reduces cardiac troponin release, time of mechanical ventilation, and length of hospital stay in patients undergoing cardiac surgery.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Greco M,Landoni G,Biondi-Zoccai G,Cabrini L,Ruggeri L,Pasculli N,Giacchi V,Sayeg J,Greco T,Zangrillo A

doi

10.1053/j.jvca.2011.05.007

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

110-6

issue

1

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(11)00435-6

journal_volume

26

pub_type

杂志文章,meta分析,评审

相关文献

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA文献大全
  • Cardiac output calculation and three-dimensional echocardiography.

    abstract：OBJECTIVE:To compare the determination of stroke volume (SV) and cardiac output (CO) using 2-dimensional (2D) versus 3-dimensional (3D) transesophageal echocardiography (TEE). DESIGN:Prospective observational study. SETTING:Tertiary care university hospital. PARTICIPANTS:35 patients without structural valve abnormal...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2013.11.005

    authors： Montealegre-Gallegos M,Mahmood F,Owais K,Hess P,Jainandunsing JS,Matyal R

    更新日期：2014-06-01 00:00:00

  • Platelet glass bead retention predicts bleeding after cardiac surgery.

    abstract：OBJECTIVE:To determine if the platelet glass bead retention assay can predict bleeding after cardiac surgery. DESIGN:Prospective, observational study. SETTING:Large, tertiary care, academic medical center. PARTICIPANTS:Forty-three adult patients scheduled to undergo elective cardiac surgery employing cardiopulmonary...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1053/jcan.2001.20274

    authors： Ereth MH,Nuttall GA,Ericson DG,Cooney WP 4th,Fisher BR,Oliver WC Jr,Schaff HV,Fass DN

    更新日期：2001-02-01 00:00:00

  • Comparison of spectral entropy and bispectral index electroencephalography in coronary artery bypass graft surgery.

    abstract：OBJECTIVE:The study's aim was to compare response entropy (RE) and state entropy (SE) with bispectral index (BIS) electroencephalography (EEG) as an alternative cerebral monitoring tool in patients scheduled for coronary artery bypass graft surgery. DESIGN:Prospective, observational single-center study. SETTING:Unive...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.09.013

    authors： Baulig W,Seifert B,Schmid ER,Schwarz U

    更新日期：2010-08-01 00:00:00

  • Tranexamic acid reduces blood loss in off-pump coronary artery bypass surgery.

    abstract：OBJECTIVE:This study was designed to evaluate the hemostatic effect of tranexamic acid in off-pump coronary artery bypass surgery. DESIGN:A prospective, randomized, double-blind, placebo-controlled study. SETTING:The Department of Anesthesiology and Cardiac Surgery, Medical Sciences University. PARTICIPANTS:One hund...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2008.09.018

    authors： Taghaddomi RJ,Mirzaee A,Attar AS,Shirdel A

    更新日期：2009-06-01 00:00:00

  • Assessment of Pulmonary Edema: Principles and Practice.

    abstract：:Pulmonary edema increasingly is recognized as a perioperative complication affecting outcome. Several risk factors have been identified, including those of cardiogenic origin, such as heart failure or excessive fluid administration, and those related to increased pulmonary capillary permeability secondary to inflammat...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2017.08.028

    authors： Assaad S,Kratzert WB,Shelley B,Friedman MB,Perrino A Jr

    更新日期：2018-04-01 00:00:00

  • Left Atrial Appendage Velocity as a Predictor of Atrial Fibrillation After Cardiac Surgery.

    abstract：OBJECTIVE:To determine if there is an association between left atrial appendage velocity and the development of postoperative atrial fibrillation (POAF). DESIGN:Single institution retrospective study performed between January 2013 and December 2013. SETTING:Single-institution, university hospital. PARTICIPANTS:Five ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2015.08.023

    authors： Ngai J,Leonard J,Echevarria G,Neuburger P,Applebaum R

    更新日期：2016-04-01 00:00:00

  • Effects of anesthetic technique on myocardial wall motion abnormalities during abdominal aortic surgery.

    abstract：OBJECTIVE:To assess the impact of regional supplemented general anesthesia (RSGEN) on regional myocardial function during abdominal aortic surgery (AAS). DESIGN:Prospective randomized study. SETTING:Single academic medical center. PARTICIPANTS:Seventy-three patients scheduled for infrarenal aortic aneursymectomy. I...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1053-0770(97)90201-9

    authors： Dodds TM,Burns AK,DeRoo DB,Plehn JF,Haney M,Griffin BP,Weiss JE,Stukel TA,Yeager MP

    更新日期：1997-04-01 00:00:00

  • Primary Stroke and Failure-to-Rescue Following Thoracic Endovascular Aortic Aneurysm Repair.

    abstract：OBJECTIVE:To characterize the impact, on failure to rescue, of cerebrovascular accident as a first postoperative complication after thoracic endovascular aortic aneurysm repair (TEVAR). DESIGN:A retrospective cohort study using of National Surgical Quality Improvement Program Participants User File. SETTING:United St...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.11.061

    authors： Mpody C,Cui J,Awad H,Bhandary S,Essandoh M,Harter RL,Tobias JD,Nafiu OO

    更新日期：2020-12-02 00:00:00

  • Critical Review and Meta-Analysis of Postoperative Sedation after Adult Cardiac Surgery: Dexmedetomidine Versus Propofol.

    abstract：OBJECTIVE:To evaluate reports from the published literature of all randomized clinical trials (RCT) comparing postoperative sedation with dexmedetomidine versus propofol in adult patients, after open cardiac surgery. DESIGN:A computerized search on Medline, EMBASE, Web of Science, and Agency for Healthcare Research an...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.10.022

    authors： Abowali HA,Paganini M,Enten G,Elbadawi A,Camporesi EM

    更新日期：2020-10-17 00:00:00

  • Perioperative evaluation of a new mixed venous oxygen saturation catheter in cardiac surgical patients.

    abstract：:Fiberoptic pulmonary artery flotation catheters have gained clinical acceptance for continuous monitoring of mixed venous oxygen saturation (SvO2), especially in the management of hemodynamically unstable patients. Therefore, the performance of the oximetry system used is extremely important. The accuracy and stabilit...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/1053-0770(92)90139-x

    authors： Pond CG,Blessios G,Bowlin J,McCawley C,Lappas DG

    更新日期：1992-06-01 00:00:00

  • Evaluation of the accuracy and response time of STAT-mode continuous cardiac output.

    abstract：OBJECTIVES:This study was conducted to compare continuous cardiac output (CCO) with bolus thermodilution cardiac output (BTD) at steady state, and to compare the response time of STAT CCO with that of trend CCO, mean arterial pressure, and mixed venous oxygen saturation [SvO2] during an acute hemodynamic change. DESIG...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(97)90050-1

    authors： Lazor MA,Pierce ET,Stanley GD,Cass JL,Halpern EF,Bode RH Jr

    更新日期：1997-06-01 00:00:00

  • The MIDCAB experience: a current look at evolving surgical and anesthetic approaches.

    abstract：:This article reviews and updates the recent modifications in patient selection and revisions in the anesthetic approach to MIDCAB surgery. It outlines the changing surgical selection criteria, current ways to assess graft patency, and evolving anesthetic management. A promising new advancement in coronary artery bypas...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/s1053-0770(97)90019-7

    authors： Gayes JM,Emery RW

    更新日期：1997-08-01 00:00:00

  • β-blocking agents for surgery: influence on mortality and major outcomes. A meta-analysis.

    abstract：OBJECTIVE:To re-evaluate the effects of perioperative beta-blockade on mortality and major outcomes after surgery. DESIGN:A meta-analysis of parallel randomized, controlled trials published in English. SETTING:A university-based electronic search. PARTICIPANTS:Patients undergoing surgery. INTERVENTIONS:Two interven...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,meta分析

    doi：10.1053/j.jvca.2013.01.009

    authors： Guay J,Ochroch EA

    更新日期：2013-10-01 00:00:00

  • Effects of fentanyl-diazepam-pancuronium anesthesia on heart rate variability: a spectral analysis.

    abstract：:The effects of induction of anesthesia with fentanyl, 62.1 +/- 7.9 micrograms/kg, diazepam, 0.21 +/- 0.08 mg/kg, and pancuronium on beat-to-beat heart rate variations were studied in seven patients undergoing cardiac surgery. Spectral analysis was used to determine the intensity of the variations in each of the two ma...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/1053-0770(92)90011-u

    authors： Komatsu T,Kimura T,Sanchala V,Shibutani K,Shimada Y

    更新日期：1992-08-01 00:00:00

  • Cardiac Prehabilitation.

    abstract：:The care of patients undergoing cardiac surgery is becoming more complex, in part owing to the increasing burden of comorbid disease, frailty, and psychosocial issues. Many risk factors for postoperative morbidity and mortality are potentially modifiable if identified and treated in a timely fashion before surgery. Ca...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.01.023

    authors： McCann M,Stamp N,Ngui A,Litton E

    更新日期：2019-08-01 00:00:00

  • Transpulmonary Thermodilution: Its Role in Assessment of Lung Water and Pulmonary Edema.

    abstract：:Tissue edema, in particular pulmonary edema, increasingly is recognized as a perioperative complication affecting outcome. Management strategies directed at avoiding excessive fluid administration, reducing inflammatory response, and decreasing capillary permeability commonly are advocated in perioperative care protoc...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2017.02.018

    authors： Assaad S,Shelley B,Perrino A

    更新日期：2017-08-01 00:00:00

  • Relationship between tissue ischemia and venous endothelin-1 during abdominal aortic aneurysm surgery.

    abstract：OBJECTIVES:Several substances may be released from ischemic tissues with the declamping shock that occurs during abdominal aortic aneurysm surgery. To clarify the relationship between tissue ischemia and venous endothelin-1 (ET-1) level in humans, plasma ET-1 and oxygen content in the iliac vein were measured before an...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(05)80132-6

    authors： Fukuda S,Taga K,Tanaka T,Sakuma K,Fujiwara N,Shimoji K,Fujihara H

    更新日期：1995-10-01 00:00:00

  • Increased alveolar damage after mechanical ventilation in a porcine model of thoracic surgery.

    abstract：OBJECTIVE:Mechanical stress during one-lung ventilation (OLV) results in lung injury. This study compared the effects of mechanical ventilation, OLV, and surgical manipulation on diffuse alveolar damage (DAD) after application of different anesthetic regimens. DESIGN:Prospective, randomized, controlled, blinded animal...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.09.016

    authors： Kozian A,Schilling T,Röcken C,Breitling C,Hachenberg T,Hedenstierna G

    更新日期：2010-08-01 00:00:00

  • Role of magnesium sulfate in postoperative pain management for patients undergoing thoracotomy.

    abstract：OBJECTIVE:The purpose of this study was to investigate the effect of magnesium sulfate on pain management for post-thoracotomy patients. DESIGN:A prospective, randomized, controlled clinical study. SETTING:University hospital. PARTICIPANTS:Twenty-four patients undergoing thoracotomy. INTERVENTIONS:After thoracotomy...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2006.11.013

    authors： Ozcan PE,Tugrul S,Senturk NM,Uludag E,Cakar N,Telci L,Esen F

    更新日期：2007-12-01 00:00:00

  • Brain Oxygen Supply Parameters in the Risk Assessment of Cerebral Complications During Carotid Endarterectomy.

    abstract：OBJECTIVE:To determine whether preoperative regional cerebral oxygen saturation (rSO2) and the decrease in rSO2 during carotid clamping were predictive of the risk for neurologic complications in carotid endarterectomy and to determine the cutoff values of the studied parameters. DESIGN:Cohort, prospective, nonrandomi...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1053/j.jvca.2016.10.017

    authors： Kamenskaya OV,Loginova IY,Lomivorotov VV

    更新日期：2017-06-01 00:00:00

  • Determination of the True Inclination Angle of the Main Bronchi Relative to the Median Sagittal Plane for Placement of a Left-Sided Double-Lumen Tube.

    abstract：OBJECTIVES:This study aimed to determine the true inclination angle of the main bronchi relative to the median sagittal plane, using CT imaging to help increase accuracy of double-lumen tube (DLT) placement. DESIGN:In this retrospective study, 2 investigators independently measured normal chest CT scans from 50 male a...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2016.06.022

    authors： Patel RV,Van Noord BA,Patel D,Hong EJ,Bourne E,Patel RR,Chandrasoma J,Chan L,Szenohradszki J,Lumb PD

    更新日期：2017-04-01 00:00:00

  • Optimal Position of Inferior Vena Cava Cannula in Pediatric Cardiac Surgery: A Prospective, Randomized, Controlled, Double-Blind Study.

    abstract：OBJECTIVE:To examine the authors' hypothesis that during the cardiopulmonary bypass (CPB) in children, the inferior vena cava cannula tip placed proximal to the right hepatic vein orifice would produce a higher venous drainage compared with that placed distally. DESIGN:A prospective, randomized, controlled, double-bli...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2018.10.023

    authors： Seino Y,Ohashi N,Imai H,Baba H

    更新日期：2019-05-01 00:00:00

  • Anesthesia for percutaneous transcatheter closure of perimembranous ventricular septal defect.

    abstract：OBJECTIVE:To review the anesthetic management for percutaneous transcatheter closure of perimembranous ventricular septal defect (VSD) with an Amplatzer asymmetric occluder device and to highlight the hemodynamic effects and potential complications associated with its delivery. DESIGN:Retrospective review of prospecti...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2005.05.023

    authors： Kapoor MC,Sharma S,Sharma VK,Dugal JS,Singh C

    更新日期：2006-04-01 00:00:00

  • The Year in Perioperative Echocardiography: Selected Highlights from 2018.

    abstract：:This article is the third of an annual series reviewing the research highlights of the year pertaining to the subspecialty of perioperative echocardiography for the Journal of Cardiothoracic and Vascular Anesthesia. The authors thank the editor-in-chief, Dr. Kaplan, and the editorial board for the opportunity to conti...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.03.034

    authors： Gerstein NS,Choi C,Henry A,Hsu PYF,Khoche S,Cronin B,Maus TM

    更新日期：2019-09-01 00:00:00

  • Effects of a novel benzodiazepine derivative, JM-1232(-), on human gastroepiploic artery in vitro.

    abstract：OBJECTIVE:To investigate the effects of JM-1232(-) on norepinephrine (10(-6) mol/L)- and high K(+) (40 mmol/L)-induced contractions in isolated human gastroepiploic arteries (GEA), and to compare them with the effects of midazolam and propofol. In addition, to investigate whether the benzodiazepine-receptor antagonist,...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2010.03.013

    authors： Moriyama T,Tsuneyoshi I,Kanmura Y

    更新日期：2011-02-01 00:00:00

  • Are Serum Potassium and Magnesium Levels Associated with Atrial Fibrillation After Cardiac Surgery?

    abstract：OBJECTIVES:Potassium and magnesium are frequently administered after cardiac surgery to reduce the risk of atrial fibrillation (AF). The evidence for this practice is unclear. This study was designed to evaluate the relationship between serum potassium and magnesium levels and AF after cardiac surgery. DESIGN:Observat...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2019.10.045

    authors： Howitt SH,Grant SW,Campbell NG,Malagon I,McCollum C

    更新日期：2020-05-01 00:00:00

  • Temporary transmyocardial pacing using epicardial pacing wires and pacing pulmonary artery catheters.

    abstract：:This study investigated the feasibility of transmyocardially pacing the heart using one temporary epicardial pacing lead and one endocardial lead of a pacing pulmonary artery catheter. Twenty patients undergoing cardiopulmonary bypass with cardioplegic arrest were studied 10 to 45 minutes and 18 to 30 hours after disc...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/1053-0770(92)90047-b

    authors： Roth JV

    更新日期：1992-12-01 00:00:00

  • Perioperative Echocardiography in the Adult With Congenital Heart Disease.

    abstract：:Survival of patients with congenital heart disease has significantly improved over the last 2 decades, confronting interventionalists, surgeons, anesthesiologists, cardiologists, and intensivists with often unfamiliar complex pathophysiology in the perioperative setting. Aside from cardiac catheterization, echocardiog...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.11.036

    authors： Williams T,Lluri G,Boyd EK,Kratzert WB

    更新日期：2020-05-01 00:00:00

  • Type of anesthesia and postoperative delirium after vascular surgery.

    abstract：OBJECTIVE:The purpose of this study was to investigate the association between general (GA), regional (RA), and local (LA) anesthetic techniques with respect to the development of delirium after vascular surgery. The authors hypothesized that patients undergoing GA for vascular surgery would have a higher incidence of ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2013.12.003

    authors： Ellard L,Katznelson R,Wasowicz M,Ashworth A,Carroll J,Lindsay T,Djaiani G

    更新日期：2014-06-01 00:00:00

  • Effects of a thromboxane receptor antagonist (NT-126) and a thromboxane synthase inhibitor (OKY-O46) on protamine-induced circulatory changes in dogs.

    abstract：OBJECTIVE:To examine whether a thromboxane receptor antagonist, NT-126, or a thromboxane synthase inhibitor, OKY-046, prevents circulatory changes caused by protamine reversal of heparin and to evaluate the significance of thromboxane generation in the phenomena. DESIGN:Prospective, randomized, controlled, animal stud...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2000.18449

    authors： Mizutani T,Takahashi S,Kihara S,Toyooka H

    更新日期：2000-12-01 00:00:00