Saxena N
Department of Cardiac Anaesthesia, AIIMS, New Delhi.
J Indian Med Assoc. 1999 Oct;97(10):428-31.
Cardiac anaesthesia continues to advance at a rapid pace. Many innovations in monitoring and pharmacology have wide application in patients with cardiac disease. In recent years many new cardiac procedures have been introduced to improve results and reduce cost. Anaesthesia for these procedures (e.g., mid-cab, port-access) requires special training and experience so as to reduce morbidity and mortality. Recently short acting anaesthetic agents are used to permit early extubation as a part of fast tracking. Constant vigilance and monitoring are necessary to handle potentially dangerous situations and avoid complications.
心脏麻醉领域持续快速发展。监测和药理学方面的许多创新在心脏病患者中具有广泛应用。近年来,许多新的心脏手术被引入,以改善治疗效果并降低成本。这些手术(如前正中开胸、端口入路手术)的麻醉需要特殊培训和经验,以降低发病率和死亡率。近来,短效麻醉剂被用于允许早期拔管,作为快速康复的一部分。必须时刻保持警惕并进行监测,以应对潜在的危险情况并避免并发症。