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J Cardiothorac Vasc Anesth. 2005 Feb;19(1):44-8.

Thoracic epidural anesthesia in cardiac surgical patients: a prospective audit of 2,113 cases.

Author information

1
Wockhardt Heart Institute, Bangalore, Karnataka, India. chakravarthy@vsnl.com

Abstract

OBJECTIVE:

The purpose of this study was to present an audit report of thoracic epidural anesthesia without permanent neurologic deficits in more than 2,000 patients undergoing cardiac surgery.

DESIGN:

A prospective audit of cases conducted over a 13-year period.

SETTING:

Tertiary referral heart hospital.

PARTICIPANTS:

Two thousand one hundred thirteen patients over a period of 13 years.

INTERVENTIONS:

Epidural catheters were inserted at the C7 to T3 intervertebral space on the day before the operation in all patients; cardiac surgery was performed with or without cardiopulmonary bypass.

MEASUREMENTS AND RESULTS:

The authors did not encounter any permanent neurologic deficits in their series. The authors encountered 18 (0.85%) primary dural punctures and 4 cases (0.18%) of temporary neurologic deficits.

CONCLUSION:

This series adds to the worldwide experience of the use of epidural analgesia concomitantly with anticoagulation in cardiac surgery without serious complications.

PMID:
15747268
DOI:
10.1053/j.jvca.2004.11.008
[Indexed for MEDLINE]

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