Endocrine-metabolic response to abdominal aortic surgery: A randomized trial of general anesthesia versus general plus epidural anesthesia

1993 ◽  
Vol 17 (5) ◽  
pp. 601-606 ◽  
Author(s):  
Harm J. Smeets ◽  
Job Kievit ◽  
Frans T. Dulfer ◽  
Jack W. van Kleef
Keyword(s):  
General Anesthesia ◽  
Randomized Trial ◽  
Epidural Anesthesia ◽  
Metabolic Response ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic

scholarly journals Effects of epidural analgesia using different concentrations of bupivacaine during combined general and epidural anesthesia

2012 ◽  
Vol 65 (7-8) ◽  
pp. 289-293
Author(s):  
Dragana Unic-Stojanovic ◽  
Vojislava Neskovic ◽  
Ivan Ilic
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Loss ◽  
Epidural Analgesia ◽  
General Anesthesia ◽  
Epidural Anesthesia ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Thoracic Epidural ◽  
Abdominal Aortic

Introduction. Thoracic epidural analgesia, combined with general anesthesia, is an established anesthetic choice for abdominal aortic surgery. However, there are controversies about the level of anesthesia as well as the dose and concentration of the local anesthetic used. The aim of the study was to compare the effects of two different concentrations of epidural bupivacaine on sevoflurane requirements and hemodynamic parameters during aortic surgery under combined epidural/general anesthesia. Methods and Material. Sixty patients scheduled for abdominal aortic surgery were randomly divided into two groups according to the concentration of local anesthetic used for epidural anesthesia: - Group 1- low concentration - where 0.125% bupivacaine was used, and - Group 2 - high concentration - where 0.5% bupivacaine was used at the beginning and then the concentration was reduced to 0.25%. Anesthesia was maintained with sevoflurane, the dose was adjusted to achieve the target entropy of 40-60. The measurements included the inspired sevoflurane concentrations, blood pressure, and heart rate at the beginning and every 5 min during the surgery. Results. Both groups had similar heart rate and blood pressure, but the inspired sevoflurane concentration was significantly higher and more variable in patients where bupivacaine 0.125% was used. Vasopressors were used more often and in higher doses in the 0.5% bupivacaine group, and in the same group the blood loss and fluid requirements were reduced. Conclusion. When 0.5% bupivacaine is used in combined thoracic epidural/ general anesthesia for aortic surgery, the sevoflurane concentrations are lower and less variable. In addition, the blood loss and fluid requirements are reduced.

Combined Epidural and General Anesthesia versus General Anesthesia for Abdominal Aortic Surgery

1991 ◽  
Vol 75 (4) ◽  
pp. 611-618 ◽  
Author(s):  
Jean-François Baron ◽  
Michèle Bertrand ◽  
Eric Barré ◽  
Gilles Godet ◽  
Olivier Mundler ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic

Thoracic Epidural Anesthesia in Abdominal Aortic Surgery: Use and Advantages

2014 ◽  
Vol 120 (5) ◽  
pp. 1288-1289
Author(s):  
Miguel Angel Palomero Rodríguez ◽  
Luis Suárez-Gonzalo ◽  
Yolanda Laporta-Baez
Keyword(s):  
Epidural Anesthesia ◽  
Aortic Surgery ◽  
Thoracic Epidural Anesthesia ◽  
Abdominal Aortic Surgery ◽  
Thoracic Epidural ◽  
Abdominal Aortic

Neuroleptanesthesia Versus Thoracic Epidural Anesthesia for Abdominal Aortic Surgery

1989 ◽  
Vol 3 (3) ◽  
pp. 214-219 ◽  
Author(s):  
F. Bonnet ◽  
C. Touboul ◽  
A.M. Picard ◽  
J. Vodinh ◽  
J-P Becquemin
Keyword(s):  
Epidural Anesthesia ◽  
Aortic Surgery ◽  
Thoracic Epidural Anesthesia ◽  
Abdominal Aortic Surgery ◽  
Thoracic Epidural ◽  
Abdominal Aortic

scholarly journals Transabdominal versus retroperitoneal incision for abdominal aortic surgery: Report of a prospective randomized trial

1995 ◽  
Vol 21 (2) ◽  
pp. 174-183 ◽  
Author(s):  
Gregorio A. Sicard ◽  
Jeffrey M. Reilly ◽  
Brian G. Rubin ◽  
Robert W. Thompson ◽  
Brent T. Allen ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Aortic Surgery ◽  
Prospective Randomized Trial ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic

The Safety of Immediate Extubation After Abdominal Aortic Surgery: A Prospective, Randomized Trial

2001 ◽  
Vol 93 (6) ◽  
pp. 1546-1549 ◽  
Author(s):  
Jonathan Cohen ◽  
Jacob Loewinger ◽  
Karina Hutin ◽  
Jacqueline Sulkes ◽  
Avigdor Zelikovski ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Aortic Surgery ◽  
Prospective Randomized Trial ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic ◽  
Immediate Extubation

Combined epidural and general anesthesia for abdominal aortic surgery

1990 ◽  
Vol 4 (5) ◽  
pp. 552-557 ◽  
Author(s):  
Charles Her ◽  
Grigory Kizelshteyn ◽  
Valerie Walker ◽  
Deborah Hayes ◽  
David Eric Lees
Keyword(s):  
General Anesthesia ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic

Local Versus Epidural Anesthesia in Fast-Track Abdominal Aortic Surgery

2013 ◽  
Vol 27 (3) ◽  
pp. 451-458 ◽  
Author(s):  
Alessandra Renghi ◽  
Luca Gramaglia ◽  
Francesco Casella ◽  
Diego Moniaci ◽  
Katia Gaboli ◽  
...  
Keyword(s):  
Epidural Anesthesia ◽  
Fast Track ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic
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