当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > Postoperative Delirium in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting According to the Anesthetic Agent: A Retrospective Study.

Postoperative Delirium in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting According to the Anesthetic Agent: A Retrospective Study.

Abstract：

OBJECTIVE:To evaluate the effect of two anesthetic agents (sevoflurane or propofol) on postoperative delirium (POD) in patients undergoing off-pump coronary artery bypass grafting (CABG). DESIGN:Retrospective observational design. SETTING:University hospital. PARTICIPANTS:Two hundred ninety-two patients undergoing off-pump CABG who were anesthetized with sevoflurane or propofol. METHODS:Incidence of POD, laboratory data, and pre-, intra-, and 24-hour postoperative clinical variables were reviewed retrospectively. The independent predictors of POD were evaluated. MEASUREMENTS AND MAIN RESULTS:The cumulative incidence of POD after off-pump CABG was 10.6% (31 of 292 patients) and the incidence rates of POD were not statistically significant in the sevoflurane and propofol groups (13% [20 of 156 patients] and 8% [11 of 136 patients], respectively; p = 0.137). Other variables, including the laboratory and clinical data also did not differ significantly between the anesthetic groups. Age ≥75 years (odds ratio [OR], 4.84; 95% confidence interval [CI], 1.44-16.27; p = 0.011), postoperative pneumonia (OR, 10.84; 95% CI, 3.32-35.34; p < 0.001), 6 or more packed red blood cell units transfusion in the first 24 hours postoperatively (OR, 5.30; 95% CI, 1.32-21.27; p = 0.019), and 24-hour postoperative albumin <3.0 g/dL (OR, 3.38; 95% CI, 1.20-9.31; p = 0.021) were independent predictors of POD after off-pump CABG. CONCLUSIONS:The incidence of POD in patients undergoing off pump-CABG did not differ between those receiving sevoflurane versus propofol-based anesthesia.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Oh CS,Park S,Wan Hong S,Kang WS,Yoon TG,Kim SH

doi

10.1053/j.jvca.2017.02.047

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1988-1995

issue

6

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(17)30099-X

journal_volume

31

pub_type

杂志文章,随机对照试验

相关文献

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA文献大全
  • Technology: Is There Sufficient Evidence to Change Practice in Point-of-Care Management of Coagulopathy?

    abstract：:Currently, hemostasis is one of the most widely researched topics in perioperative medicine. As investigators learn more about the complexity of coagulation, developing tests with the ability to rapidly monitor coagulation and guide targeted therapy is the key to optimizing hemostasis management. There is mounting evi...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2017.05.037

    authors： Fabbro M 2nd,Winkler AM,Levy JH

    更新日期：2017-10-01 00:00:00

  • Perioperative coagulation management and blood conservation in cardiac surgery: a Canadian Survey.

    abstract：OBJECTIVE:To determine which strategies are currently used for (anti)coagulation management and blood conservation during cardiac surgery in Canada. DESIGN:Institutional survey. SETTING:University hospital. PARTICIPANTS:All sites performing cardiac surgery in Canada. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESUL...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2008.02.005

    authors： Taneja R,Fernandes P,Marwaha G,Cheng D,Bainbridge D

    更新日期：2008-10-01 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

  • Persistent kidney injury at hospital discharge after cardiac surgery with cardiopulmonary bypass in patients with normal preoperative serum creatinine and normal estimated glomerular filtration rate.

    abstract：OBJECTIVE:Acute kidney injury is a serious complication after cardiac surgery. Although it resolves in most cases, a significant portion of patients persistently have raised creatinine values at hospital discharge. These patients are at greater risk for developing chronic kidney disease and mortality. Therefore, the pr...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2014.05.007

    authors： Ge Ng RR,Huey Chew ST,Liu W,Kah Ti L

    更新日期：2014-12-01 00:00:00

  • Effects of fenoldopam mesylate on central hemodynamics and renal flow in patients undergoing cardiac surgery: color Doppler echocardiographic evaluation.

    abstract：OBJECTIVE:The purpose of this study was to evaluate the effect of 0.1 microg/kg/min of fenoldopam mesylate on renal flow and central hemodynamics measured by echocardiography in hemodynamically stable patients with preserved renal function undergoing cardiac surgery. DESIGN:Experimental observational study. SETTING:S...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.04.012

    authors： Meco M,Cirri S

    更新日期：2010-02-01 00:00:00

  • Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients.

    abstract：:Bleeding after cardiac surgery is a common and serious complication leading to transfusion of multiple blood products and resulting in increased morbidity and mortality. Despite the publication of numerous guidelines and consensus statements for patient blood management in cardiac surgery, research has revealed that a...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.04.003

    authors： Raphael J,Mazer CD,Subramani S,Schroeder A,Abdalla M,Ferreira R,Roman PE,Patel N,Welsby I,Greilich PE,Harvey R,Ranucci M,Heller LB,Boer C,Wilkey A,Hill SE,Nuttall GA,Palvadi RR,Patel PA,Wilkey B,Gaitan B,Hill SS

    更新日期：2019-11-01 00:00:00

  • A Focused Transesophageal Echocardiography Protocol for Intraoperative Management During Orthotopic Liver Transplantation.

    abstract：OBJECTIVE:The value of a simplified, focused intraoperative transesophageal echocardiography (TEE) protocol in patients undergoing liver transplantation (LT) is unknown. We sought to create and assess a 5-view LT TEE examination focused on 5 prespecified common causes of hypotension during LT. DESIGN:Retrospective coh...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.01.028

    authors： Vanneman MW,Dalia AA,Crowley JC,Luchette KR,Chitilian HV,Shelton KT

    更新日期：2020-07-01 00:00:00

  • A Rare Cause of a Left Atrial Mass.

    abstract：:Intramyocardial hematomas are a rare complication of myocardial infarctions. Normally restricted to the left ventricle, in certain scenarios, such as after a percutaneous coronary intervention, intramyocardial hematomas also can occur in the left atrium. Herein, the case of a 74-year-old man who presented to the autho...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.06.053

    authors： Patoli D,Alghanem H,Tung A

    更新日期：2020-10-01 00:00:00

  • Anesthesia for left ventricular assist device placement.

    abstract：:Appropriate anesthesia for LVAD placement needs to incorporate an understanding of the surgical procedure and LVAD physiology, the altered physiology and pharmacology of the cardiac failure patient, and a knowledge of the interaction of anesthesia with the potent cardiac drugs used in end-stage heart failure therapy. ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：

    authors： Mets B

    更新日期：2000-06-01 00:00:00

  • A beta-blocker, not magnesium, is effective prophylaxis for atrial tachyarrhythmias after coronary artery bypass graft surgery.

    abstract：OBJECTIVE:To evaluate magnesium as a sole or adjuvant agent with currently used prophylactic drugs in suppressing postoperative atrial tachyarrhythmias (POAT) after coronary artery bypass graft (CABG) surgery. DESIGN:Single-center prospective, randomized clinical trial. SETTING:University hospital. PARTICIPANTS:Pati...

    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：10.1053/jcan.2001.21959

    authors： Bert AA,Reinert SE,Singh AK

    更新日期：2001-04-01 00:00:00

  • Early continuous venovenous hemodialysis in dialysis-dependent patients after cardiac surgery: safety and efficacy.

    abstract：OBJECTIVES:The present study assessed the safety and efficacy of continuous venovenous hemodialysis (CVVHD) early after cardiac surgery. DESIGN:Retrospective database and medical record review. SETTING:University teaching hospital. PARTICIPANTS:Forty-five dialysis-dependent patients who underwent cardiac surgery wit...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2006.02.003

    authors： Nakasuji M,Nishi S,Nakasuji K,Hamaoka N,Ikeshita K,Asada A

    更新日期：2007-06-01 00:00:00

  • Speckle tracking for the intraoperative assessment of right ventricular function: a feasibility study.

    abstract：OBJECTIVES:Speckle tracking is an ultrasound method that assesses B-mode features to measure tissue displacement and derive deformation parameters. The objective of this study was to assess the feasibility of using speckle tracking in the measurement of right ventricular (RV) longitudinal strain during cardiac surgery ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.10.022

    authors： Tousignant C,Desmet M,Bowry R,Harrington AM,Cruz JD,Mazer CD

    更新日期：2010-04-01 00:00:00

  • Off-Pump Coronary Artery Bypass Grafting: Closing the Communication Gap Across the Ether Screen.

    abstract：:Cardiopulmonary bypass (CPB) has been one of the most important additions to the field of heart surgery in the past century. However, significant morbidity associated with CPB has led to the increasing implementation of off-pump coronary artery bypass (OPCAB). The use of OPCAB has broadened surgical revascularization ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.05.005

    authors： Bianco V,Kilic A,Gelzinis T,Gleason TG,Navid F,Rauso L,Joshi R,Sultan I

    更新日期：2020-01-01 00:00:00

  • Preoperative interpleural administration of sufentanil or bupivacaine reduces intraoperative intravenous sufentanil requirements during thoracotomy.

    abstract：:The efficacy of interpleural administration of sufentanil, 50 micrograms, was compared with that of 150 mg of bupivacaine, 0.5%, with epinephrine, 5 micrograms/mL, or saline, in 30 patients (N = 10 in each group) undergoing lateral thoracotomy. Sufentanil, bupivacaine, or saline was administered interpleurally after i...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/1053-0770(93)90307-7

    authors： Haak-van der Lely F,van Kleef JW,Burm AG,Bovill JG

    更新日期：1993-10-01 00:00:00

  • Comparison of the hemodynamic effects of milrinone with dobutamine in patients after cardiac surgery.

    abstract：OBJECTIVE:To compare the hemodynamic effects, efficacy, and safety of intravenous milrinone (M), 50 microg/kg during 10 minutes followed by 0.5 microg/kg/min, with intravenous dobutamine (D), 10 to 20 microg/kg/min, in patients with low cardiac output after cardiac surgery. DESIGN:Randomized, open-label, multicenter s...

    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：10.1053/jcan.2001.23274

    authors： Feneck RO,Sherry KM,Withington PS,Oduro-Dominah A,European Milrinone Multicenter Trial Group.

    更新日期：2001-06-01 00:00:00

  • Echocardiographic Predictors of Immediate Postoperative Outcomes in Patients With Severe Left Ventricular Systolic Dysfunction Undergoing On-Pump Coronary Artery Bypass Grafting.

    abstract：OBJECTIVES:The postoperative course following on-pump coronary artery bypass grafting (CABG) in patients with severe left ventricular (LV) systolic dysfunction is often unpredictable. Therefore, the aim of this study was to identify predictors of poor postoperative outcome in this subset of patients. DESIGN:Prospectiv...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2016.04.025

    authors： Jha AK,Malik V,Gharde P,Chauhan S,Kiran U,Hote MP

    更新日期：2017-02-01 00:00:00

  • Plasma transfusion is associated with postoperative infectious complications following esophageal resection surgery: a retrospective cohort study.

    abstract：OBJECTIVE:To examine the association between blood component transfusions and the incidence of major postoperative infections in patients undergoing esophageal resection surgery. DESIGN:Retrospective cohort study. SETTING:Single academic tertiary referral center. PARTICIPANTS:All patients who underwent esophagectomy...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2011.12.015

    authors： Subramanian A,Berbari EF,Brown MJ,Allen MS,Alsara A,Kor DJ

    更新日期：2012-08-01 00:00:00

  • Milrinone increases flow in coronary artery bypass grafts after cardiopulmonary bypass: a prospective, randomized, double-blind, placebo-controlled study.

    abstract：OBJECTIVE:To compare the effects of a bolus of milrinone, 50 microg/kg, versus placebo on flow in coronary artery bypass grafts after cardiopulmonary bypass (CPB). DESIGN:A prospective, randomized, double-blind study. SETTING:A university hospital. PARTICIPANTS:Forty-four patients with stable angina and left ventric...

    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.2008.07.005

    authors： Arbeus M,Axelsson B,Friberg O,Magnuson A,Bodin L,Hultman J

    更新日期：2009-02-01 00:00:00

  • Blood salvage in cardiac surgery.

    abstract：:The aim of this study was to evaluate blood salvage provided by an intraoperative blood recovery system (IBRS) and a mediastinal drainage blood recovery system (MBRS) during and after cardiac surgery. Sixty-six patients undergoing aortocoronary bypass surgery were randomly assigned to three groups of 22 patients each....

    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：10.1016/1053-0770(91)90119-e

    authors： Parrot D,Lançon JP,Merle JP,Rerolle A,Bernard A,Obadia JF,Caillard B

    更新日期：1991-10-01 00:00:00

  • Meta-Analysis of Sodium Bicarbonate Therapy for Prevention of Cardiac Surgery-Associated Acute Kidney Injury.

    abstract：OBJECTIVE:The aim of this study was to determine whether or not perioperative administration of sodium bicarbonate had a preventive effect on cardiac surgery-associated acute kidney injury (CSA-AKI) as shown in randomized controlled trials. DESIGN:The authors conducted a systematic review and meta-analysis using MEDLI...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,meta分析,评审

    doi：10.1053/j.jvca.2015.03.007

    authors： Kim JH,Kim HJ,Kim JY,Ahn Hs,Ahn IM,Choe WJ,Lim CH

    更新日期：2015-10-01 00:00:00

  • Comparison of epsilon aminocaproic acid and tranexamic acid in pediatric cardiac surgery.

    abstract：OBJECTIVE:This study compared the efficacy of aminocaproic acid and tranexamic acid in reducing postoperative blood loss, as well as blood and blood product requirements in children with cyanotic congenital heart disease. DESIGN:A prospective randomized study. SETTING:Cardiac center of a tertiary care, referral hospi...

    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：10.1053/j.jvca.2004.01.016

    authors： Chauhan S,Das SN,Bisoi A,Kale S,Kiran U

    更新日期：2004-04-01 00:00:00

  • The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery.

    abstract：OBJECTIVES:Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. DESIGN:Data were retrieved from the medical records of patients undergoing card...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2013.09.010

    authors： Dixon B,Reid D,Collins M,Newcomb AE,Rosalion A,Yap CH,Santamaria JD,Campbell DJ

    更新日期：2014-04-01 00:00:00

  • 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

  • Bench to bedside: dynamic mitral valve assessment.

    abstract：PURPOSE:The authors analyze a commercially available software package capable of geometrically reconstructing the mitral valve (MV) dynamically throughout systole. DESCRIPTION:Three-dimensional echocardiography has revolutionized the understanding of MV geometry. Advanced quantification software can be used to assess ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2011.06.021

    authors： Warraich HJ,Shahul S,Matyal R,Mahmood F

    更新日期：2011-10-01 00:00:00

  • Influence of isoflurane on left atrial function in dogs with pacing-induced cardiomyopathy: evaluation with pressure-volume relationships.

    abstract：OBJECTIVE:The actions of volatile anesthetics on left ventricular (LV) function in normal and failing hearts have been previously evaluated, but the effects of these agents on left atrial (LA) function in the presence of LV dysfunction are unknown. The hypothesis was tested that isoflurane alters LA mechanics evaluated...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2003.09.006

    authors： Kehl F,Ladisa JF Jr,Hettrick DA,Kersten JR,Warltier DC,Pagel PS

    更新日期：2003-12-01 00:00:00

  • No evidence of memory processing during propofol-remifentanil target-controlled infusion anesthesia with bispectral index monitoring in cardiac surgery.

    abstract：OBJECTIVE:Auditory information presented during anesthesia can activate memory. Surgical stimulation may enhance memory formation. The authors' hypothesis is that implicit memory processing is not preserved during unconsciousness, even in the presence of a surgical stimulus. DESIGN:A double-blind randomized controlled...

    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.2008.09.016

    authors： Bejjani G,Lequeux PY,Schmartz D,Engelman E,Barvais L

    更新日期：2009-04-01 00:00:00

  • An alternative to radioactive microsphere for measuring regional myocardial blood flow, Part 2: Laser-Doppler perfusion monitor.

    abstract：OBJECTIVE:To compare measurements of regional myocardial blood flow volume between microsphere measurement of regional flow (0.5- to 2- g tissue sampling) and a potential alternative measure, local flow (1 mm3) in the microcirculation measured by laser-Doppler perfusion monitor. DESIGN:Prospective, randomized, control...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(96)80100-5

    authors： Sidi A,Rush W

    更新日期：1996-04-01 00:00:00

  • Determination of preload-recruitable stroke work and elastance by the relationship of arterial blood flow velocity to left ventricular area.

    abstract：OBJECTIVE:The authors investigated the feasibility of an online sampling and display of LV flow-area loops for the determination of LV elastance and preload-recruitable stroke work (PRSW). Automated LV area measurements by echocardiography may be combined with flow velocity measurements in the internal carotid artery t...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2004.05.017

    authors： Broscheit JA,Greim CA,Kessler M,Weidemann F,Roewer N

    更新日期：2004-08-01 00:00:00

  • Effects of hemodilution, blood loss, and consumption on hemostatic factor levels during cardiopulmonary bypass.

    abstract：OBJECTIVES:The purpose of this study was to determine quantitatively the effects of consumption, hemodilution, and blood loss on coagulation and fibrinolytic factor levels during cardiopulmonary bypass. DESIGN:A combination of measured levels of prothrombin, antithrombin, fibrinogen, plasminogen, and antiplasmin along...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2004.11.046

    authors： Chandler WL

    更新日期：2005-08-01 00:00:00

  • A comparison of activated coagulation time-based techniques for anticoagulation during cardiac surgery with cardiopulmonary bypass.

    abstract：OBJECTIVE:The inadequacy of heparinization during cardiopulmonary bypass (CPB) can lead to hemostatic activation with increases in postoperative blood loss and blood product requirements after cardiac surgery. Because activated coagulation time (ACT) measurements may not be accurate during CPB, the use of a heparin man...

    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.2007.07.011

    authors： Slight RD,Buell R,Nzewi OC,McClelland DB,Mankad PS

    更新日期：2008-02-01 00:00:00