Key result
Awake off-pump CABG under thoracic epidural anesthesia successfully avoids mechanical ventilation in high-risk patients.
Why the study?
General anaesthesia with endotracheal intubation in coronary artery bypass grafting has potential complications, especially in patients with significant co-morbidities, motivating exploration of awake coronary artery bypass grafting under high thoracic epidural anaesthesia.
Does awake off-pump coronary artery bypass grafting using high thoracic epidural anaesthesia prevent the need for ventilatory support in patients with severe comorbidities?
Case Report (n=2)
No
Does awake off-pump coronary artery bypass grafting using high thoracic epidural anaesthesia prevent the need for ventilatory support in patients with severe comorbidities?
High thoracic epidural anaesthesia is a feasible approach for awake off-pump CABG in patients with severe respiratory or metabolic comorbidities, safely avoiding the need for mechanical ventilation.
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Vimesh et al. (2010) conducted a case report in Coronary artery disease with severe comorbidities (n=2). Awake off-pump coronary artery bypass grafting under high thoracic epidural anaesthesia was evaluated on Need for ventilatory support during or after surgery. Awake off-pump coronary artery bypass grafting using high thoracic epidural anaesthesia was safely performed in two patients with severe comorbidities, avoiding the need for any ventilatory support.
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