Author/Editor		Mušič, Š; Hollan, J
Title		Coronary artery bypass grafting via median sternotomy with high thoracic epidural anaesthesia in the conscious patient - a case report
Type		članek
Source		In: Zabavnik Z, editor. Book of lectures of the 16th anaesthesia symposium Alpe Adria; 2003 May 9-11; Maribor. Maribor: Splošna bolnišnica,
Publication year		2003
Volume		str. 83-7
Language		eng
Abstract		Cardiopulmonary bypass and median sternotomy have been recognized as major morbidity factors in cardiac surgery. Additional morbidity factors are general anaesthesia and endotracheal intubation. Modern cardiac surgical techniques, developed recently, allow the use of thoracic epidural anaesthesia as a supplement to general anaesthesia or even as a sole anaesthetic for cardiac surgery. Although neuraxial anaesthesia and analgesia have been shown to have many beneficial effects on postoperative outcome and are widely used in many branches of surgery, they have not enjoyed great popularity in cardiac surgery due to concern for neuraxial haemathoma where large doses of heparin are used. We represent a case report of 41-years old patient with single vessel coronary artery disease who underwent revascularization of myocardium with anastomosis of left internal mammary artery to LAD via median sternotomy. Operation was performed without cardiopulmonary bypass in the conscious unintubated patient breathing spontaneously. Perioperative course was uneventful. This was the first patient in Slovenia operated on with this technique.
Descriptors		CORONARY ARTERY BYPASS ANESTHESIA, EPIDURAL STERNUM ADULT THORACOTOMY