Authors: J. Šnircová 1; R. Fajt 1; J. Hrabák 1; M. Jareš 1; M. Kopa 2; T. Vaněk 1 Authors‘ workplace: Kardiochirurgická klinika 3. LF UK a FNKV, Praha 1; Katedra pravděpodobnosti a matematické statistiky MFF UK, Praha 2 Published in: Anest. intenziv. Med., 18, 2007, č. 5, s. 276-281 Category: Anaesthesiology - Original Paper
Objective: We have been using fast-track techniques (alfentanil and remifentanil based) for cardiac anaesthesia in our department routinely since 2001. The aim of this study was to compare these two methods.
Design: A prospective follow-up study.
Setting: Department of Cardiac Surgery, University Hospital Kralovske Vinohrady, Charles University, Prague.
Materials and methods: In the prospective follow-up study, 71 consecutive patients (alfentanil 32, remifentanil 39) undergoing common cardiothoracic procedures were observed during 2006. The following parameters were observed: time to extubation, length of ICU stay, length of stay on ward, incidence of postoperative atrial fibrillation, blood gases, postoperative pain grade (assessed 1 hour after extubation and on 1st post - operative day on the visual analogue pain scale and the SF McGill questionnaire), analgesic requirements.
Results: There were no statistically significant differences in the most of observed parameters. Postoperative pain was dependent solely on patient’s age (p < 0.001) and gender (p = 0.042).
Conclusion: Both methods allow early and safe extubation of patients undergoing cardiothoracic surgery.
Key words: cardiac anaesthesia – fast-track – alfentanil – remifentanil – pain
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