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

Fast-track in Abdominal Aortic Surgery: Experience in Over 1,000 Patients

2015 ◽  
Vol 29 (6) ◽  
pp. 1151-1159 ◽  
Author(s):  
Piero Brustia ◽  
Alessandra Renghi ◽  
Michele Aronici ◽  
Luca Gramaglia ◽  
Carla Porta ◽  
...  
Keyword(s):  
Fast Track ◽  
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

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.

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 Fast-track approach in abdominal aortic surgery: left subcostal incision with blended anesthesia

2006 ◽  
Vol 6 (1) ◽  
pp. 60-64 ◽  
Author(s):  
P. Brustia ◽  
A. Renghi ◽  
A. Fassiola ◽  
L. Gramaglia ◽  
F. Della Corte ◽  
...  
Keyword(s):  
Fast Track ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic ◽  
Left Subcostal Incision ◽  
Subcostal Incision
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