Anderson M B, Kwong K F, Furst A J, Salerno T A
Division of Cardiothoracic Surgery, University of Miami School of Medicine, Miami Veterans Affairs Hospital, Miami, Florida, USA.
Eur J Cardiothorac Surg. 2001 Aug;20(2):415-7. doi: 10.1016/s1010-7940(01)00831-4.
Cardiac surgery is perceived to be maximally invasive and fraught with complications. Secondary to this, cardiothoracic surgeons have been refining traditional techniques to minimize their invasive nature. Epidural anesthesia has been utilized safely and effectively for numerous surgical procedures to reduce the associated morbidity. In hopes of achieving a similar result, we utilized thoracic epidural anesthesia for a coronary artery bypass via a left anterior thoracotomy, in an awake, spontaneously breathing patient. To the best of our knowledge, this is the first reported case utilizing this approach. Herein we report the results and technique utilized.
心脏手术被认为具有极大的侵入性且充满并发症。在此之后，心胸外科医生一直在改进传统技术以尽量减少其侵入性。硬膜外麻醉已被安全有效地用于许多外科手术以降低相关的发病率。为了获得类似的效果，我们在一名清醒、自主呼吸的患者中，通过左前开胸术对冠状动脉搭桥术采用了胸段硬膜外麻醉。据我们所知，这是首次报道使用这种方法的病例。在此我们报告所采用的结果和技术。
