Clinical Impact Of Continuous Dexmedetomidine Based Sedation In Coronary Artery Bypass Graft Cabg Surgery Patients

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Clinical Impact of Continuous Dexmedetomidine Based Sedation in Coronary Artery Bypass Graft (CABG) Surgery Patients

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Author : Sangseok Lee
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

Book Synopsis Clinical Impact of Continuous Dexmedetomidine Based Sedation in Coronary Artery Bypass Graft (CABG) Surgery Patients by : Sangseok Lee

Download or read book Clinical Impact of Continuous Dexmedetomidine Based Sedation in Coronary Artery Bypass Graft (CABG) Surgery Patients written by Sangseok Lee and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study: This prospective, randomized, open-label, controlled study was designed to compare dexmedetomidine-based to midazolam-based sedation after coronary artery bypass graft (CABG) surgery in the cardiac intensive care unit. Materials and Methods: After approval of IRB and written informed consent, forty patients scheduled for elective CABG surgery were randomly assigned to receive midazolam (0.03-0.1 mg/kg i.v. bolus intermittently) or dexmedetomidine (0.7 u03bcg/kg/hr. i.v. continuously). The study drug was administered from the time of sternal closure until weaning from mechanical ventilator. An infusion rate of dexmedetomidine or additional dose of midazolam was determined based on maintaining a RASS (Richmond Agitation-Sedation Score) more than 3. We recorded sedation score, time to extubation, ICU stay time, hemodynamics with cardiac index, and various side effect every 2 hours. Results and Discussion: The patient treated with dexmedetomidine showed significantly lower level of sedation than midazolam (P=0.008, Fig. 1). Average times to spontaneous respiration (865u00b1181 min vs 884u00b1272 min, P=0.862), to weaning from mechanical ventilator (1,020u00b195 vs 973u00b1276 min, P=0.642), and to ICU staying (75u00b18 vs 69u00b18 hr, P=0.177) were similar between midazolam and dexmedetomidine group, respectively. The hemodynamic variables (MAP, cardiac index, pulmonary artery pressure and etc.) and incidence of side-effects (delirium, shivering, nausea, vomiting, and pain) did not differ between the groups. Conclusions: Sedation with dexmedetomidine 0.7 u03bcg/ kg/hr i.v. provide effective sedation for post-CABG surgical patients, in particular, who need a deeper level of sedation. Nevertheless, patients who received sedation with dexmedetomidine did not show delayed recovery and any other side effects.

Effects of Dexmedotomidine in the Coronary Artery Bypass Graft (CABG) Patient: A Pilot Study

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Author :
Publisher :
ISBN 13 :
Total Pages : 17 pages
Book Rating : 4.:/5 (742 download)

Book Synopsis Effects of Dexmedotomidine in the Coronary Artery Bypass Graft (CABG) Patient: A Pilot Study by :

Download or read book Effects of Dexmedotomidine in the Coronary Artery Bypass Graft (CABG) Patient: A Pilot Study written by and published by . This book was released on 2006 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Postoperatively, CABG patients remain intubated requiring sedation and pain management. Propofol is a commonly used sedative but requires concomitant analgesic use. Dexmedetomidine (DEX) is an alpha-2 agonist providing both sedative and analgesic properties. The purpose of this study was to compare Propofol to DEX infusions to determine differences in amount of post-op pain medication used, intubation time, and Cardiothoracic Unit (CTU) time.

Oxford Textbook of Cardiothoracic Anaesthesia

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Author : R. Peter Alston
Publisher : Oxford Textbook in Anaesthesia
ISBN 13 : 019965347X
Total Pages : 545 pages
Book Rating : 4.1/5 (996 download)

Book Synopsis Oxford Textbook of Cardiothoracic Anaesthesia by : R. Peter Alston

Download or read book Oxford Textbook of Cardiothoracic Anaesthesia written by R. Peter Alston and published by Oxford Textbook in Anaesthesia. This book was released on 2015 with total page 545 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Oxford Textbooks in Anaesthesia series, this title covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this title reflects current world-wide practice across the globe.

Essential Clinical Anesthesia

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Author : Charles Vacanti
Publisher : Cambridge University Press
ISBN 13 : 1139498401
Total Pages : 1191 pages
Book Rating : 4.1/5 (394 download)

Book Synopsis Essential Clinical Anesthesia by : Charles Vacanti

Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

State of the Art Surgical Coronary Revascularization

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Author : David P. Taggart
Publisher : Oxford University Press, USA
ISBN 13 : 0198758782
Total Pages : 521 pages
Book Rating : 4.1/5 (987 download)

Book Synopsis State of the Art Surgical Coronary Revascularization by : David P. Taggart

Download or read book State of the Art Surgical Coronary Revascularization written by David P. Taggart and published by Oxford University Press, USA. This book was released on 2021 with total page 521 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease.

The ESC Textbook of Intensive and Acute Cardiovascular Care

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Author : Marco Tubaro
Publisher : Oxford University Press
ISBN 13 : 0192589199
Total Pages : 800 pages
Book Rating : 4.1/5 (925 download)

Book Synopsis The ESC Textbook of Intensive and Acute Cardiovascular Care by : Marco Tubaro

Download or read book The ESC Textbook of Intensive and Acute Cardiovascular Care written by Marco Tubaro and published by Oxford University Press. This book was released on 2021-03-08 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Chronic Postsurgical Pain

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Author : Gérard Mick
Publisher : Springer Science & Business Media
ISBN 13 : 3319043226
Total Pages : 175 pages
Book Rating : 4.3/5 (19 download)

Book Synopsis Chronic Postsurgical Pain by : Gérard Mick

Download or read book Chronic Postsurgical Pain written by Gérard Mick and published by Springer Science & Business Media. This book was released on 2014-02-20 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

Laboratory Animal Anaesthesia

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Author : Paul Flecknell
Publisher : Academic Press
ISBN 13 : 0080918999
Total Pages : 325 pages
Book Rating : 4.0/5 (89 download)

Book Synopsis Laboratory Animal Anaesthesia by : Paul Flecknell

Download or read book Laboratory Animal Anaesthesia written by Paul Flecknell and published by Academic Press. This book was released on 2009-04-09 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: Laboratory Animal Anesthesia looks at recent significant developments in anesthetic practices in laboratory experiments involving animals. It also provides information about basic standards for proper use of anesthesia. In addition, it examines the equipment and different anesthetic agents that are used in performing an experiment on animals. The book also discusses the profound effects of anesthesia on the physiological aspect of the animals' body systems, such as hypothermia and respiratory depression. The book addresses the proper management and care that should be provided for the animals that undergo anesthesia. Furthermore, it covers different anesthetic procedures that should be used on various kinds of small animals intended for laboratory experiments. The main goal of this book is to provide information about the different anesthetic agents used in experiments, and the proper standards to follow when using anesthetics on lab animals.• New edition provides new information on anesthesia and analgesia, and has an extensively revised and updated bibliography• Provides a balanced consideration of the needs of scientific research and the welfare of laboratory animals• Written by a veterinary anesthetist and scientist with over 30 years' experience in the field, and who is actively engaged in research in this area• Provides rapid, easily accessed information using tabulated summaries• Provides those with limited experience of anesthesia with the information they need to carry our procedures effectively, safely, and humanely• Provides sufficient depth for the more experienced anesthetist moving to this field

Critical Care Sedation

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Author : Angelo Raffaele De Gaudio
Publisher : Springer
ISBN 13 : 3319593129
Total Pages : 267 pages
Book Rating : 4.3/5 (195 download)

Book Synopsis Critical Care Sedation by : Angelo Raffaele De Gaudio

Download or read book Critical Care Sedation written by Angelo Raffaele De Gaudio and published by Springer. This book was released on 2018-01-23 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.

Kaplan's Cardiac Anesthesia E-Book

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Author : Joel A. Kaplan
Publisher : Elsevier Health Sciences
ISBN 13 : 0323463010
Total Pages : 1691 pages
Book Rating : 4.3/5 (234 download)

Book Synopsis Kaplan's Cardiac Anesthesia E-Book by : Joel A. Kaplan

Download or read book Kaplan's Cardiac Anesthesia E-Book written by Joel A. Kaplan and published by Elsevier Health Sciences. This book was released on 2016-10-20 with total page 1691 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in a revised and expanded 7th Edition, Kaplan's Cardiac Anesthesia helps you optimize perioperative outcomes for patients undergoing both cardiac and noncardiac surgery. Dr. Joel L. Kaplan, along with associate editors, Drs. John G. T. Augoustides, David L. Reich, and Gerard R. Manecke, guide you through today's clinical challenges, including the newest approaches to perioperative assessment and management, state-of-the art diagnostic techniques, and cardiovascular and coronary physiology. - Complete coverage of echocardiography and current monitoring techniques. - Guidance from today's leaders in cardiac anesthesia, helping you avoid complications and ensure maximum patient safety. - More than 800 full-color illustrations. - A new section on anesthetic management of the cardiac patient undergoing noncardiac surgery. - New availability as an eBook download for use the in OR. - Online-only features, including quarterly updates, an ECG atlas...an increased number of videos, including 2-D and 3-D TEE techniques in real time...and an Annual Year End Highlight from the Journal of Cardiovascular Anesthesia that's posted each February. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.

Core Topics in Cardiac Anesthesia

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Author : Jonathan H. Mackay
Publisher : Cambridge University Press
ISBN 13 : 9780521196857
Total Pages : 0 pages
Book Rating : 4.1/5 (968 download)

Book Synopsis Core Topics in Cardiac Anesthesia by : Jonathan H. Mackay

Download or read book Core Topics in Cardiac Anesthesia written by Jonathan H. Mackay and published by Cambridge University Press. This book was released on 2012-03-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.

Cardiothoracic Critical Care E-Book

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Author : David Sidebotham
Publisher : Elsevier Health Sciences
ISBN 13 : 0702039047
Total Pages : 667 pages
Book Rating : 4.7/5 (2 download)

Book Synopsis Cardiothoracic Critical Care E-Book by : David Sidebotham

Download or read book Cardiothoracic Critical Care E-Book written by David Sidebotham and published by Elsevier Health Sciences. This book was released on 2007-09-12 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new bedside manual guides you through all the practical aspects of managing patients following cardiothoracic surgery and critically ill cardiology patients. Primarily designed to use in cardiothoracic intensive care units and coronary care units, it covers the perioperative management for the full range of cardiothoracic surgical procedures, the management of complications, and related issues. Core topics in cardiothoracic critical care, such as hemodynamic instability, arrhythmias, bleeding, and mechanical cardiac support, are afforded broad coverage. Also included are sections on advanced ventilatory techniques and veno-venous ECMO for treating severe respiratory failure, as well as nutritional support, treating and preventing infection, renal failure, and care of the dying patient. Concisely written and featuring liberal use of illustrations as well as an integrated, tightly edited style, and a limited number of key references, this volume will become your reference of choice for the care of of cardiothoracic surgery patients and critically ill cardiology patients. Find information quickly with concisely written text. Get a more complete picture with extensive illustrations. Focus on just the information you need using a a limited number of key references. Navigate the complexities of critical care for a fulll range of cardiothoracic surgery patients with in-depth coverage of perioperative care, management of complications, and more.

The Difficult Airway

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Author : David B. Glick
Publisher : Springer Science & Business Media
ISBN 13 : 0387928499
Total Pages : 308 pages
Book Rating : 4.3/5 (879 download)

Book Synopsis The Difficult Airway by : David B. Glick

Download or read book The Difficult Airway written by David B. Glick and published by Springer Science & Business Media. This book was released on 2012-12-05 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.

Mechanical Ventilation

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Author : Peter J. Papadakos
Publisher : Elsevier Health Sciences
ISBN 13 : 0721601863
Total Pages : 684 pages
Book Rating : 4.7/5 (216 download)

Book Synopsis Mechanical Ventilation by : Peter J. Papadakos

Download or read book Mechanical Ventilation written by Peter J. Papadakos and published by Elsevier Health Sciences. This book was released on 2007-01-01 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the key tools in effectively managing critical illness is the use of mechanical ventilator support. This essential text helps you navigate this rapidly evolving technology and understand the latest research and treatment modalities. A deeper understanding of the effects of mechanical ventilation will enable you to optimize patient outcomes while reducing the risk of trauma to the lungs and other organ systems. A physiologically-based approach helps you better understand the impact of mechanical ventilation on cytokine levels, lung physiology, and other organ systems. The latest guidelines and protocols help you minimize trauma to the lungs and reduce patient length of stay. Expert contributors provide the latest knowledge on all aspects of mechanical ventilation, from basic principles and invasive and non-invasive techniques to patient monitoring and controlling costs in the ICU. Comprehensive coverage of advanced biological therapies helps you master cutting-edge techniques involving surfactant therapy, nitric oxide therapy, and cytokine modulators. Detailed discussions of both neonatal and pediatric ventilator support helps you better meet the unique needs of younger patients.

Personalized Anaesthesia

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Author : Pedro L. Gambús
Publisher : Cambridge University Press
ISBN 13 : 1107579252
Total Pages : 315 pages
Book Rating : 4.1/5 (75 download)

Book Synopsis Personalized Anaesthesia by : Pedro L. Gambús

Download or read book Personalized Anaesthesia written by Pedro L. Gambús and published by Cambridge University Press. This book was released on 2020-02-06 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents a modern vision of anaesthesia, integrating technology and knowledge, to change how anaesthesia is taught and practised.

Acute Pain Management

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Author : Raymond S. Sinatra
Publisher : Cambridge University Press
ISBN 13 : 0521874912
Total Pages : 729 pages
Book Rating : 4.5/5 (218 download)

Book Synopsis Acute Pain Management by : Raymond S. Sinatra

Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Core Clinical Competencies in Anesthesiology

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Author : Christopher J. Gallagher
Publisher : Cambridge University Press
ISBN 13 : 0521144132
Total Pages : 489 pages
Book Rating : 4.5/5 (211 download)

Book Synopsis Core Clinical Competencies in Anesthesiology by : Christopher J. Gallagher

Download or read book Core Clinical Competencies in Anesthesiology written by Christopher J. Gallagher and published by Cambridge University Press. This book was released on 2010-04-12 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains anesthesiology core clinical competencies in an engaging case study format, making them clinically relevant for medical students.