Fast-track and ultra fast-track cardiac anaesthesia – postoperative pain and other parameters observation

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


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.

A prospective follow-up study.

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.

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).

Both methods allow early and safe extubation of patients undergoing cardiothoracic surgery.

Key words:
cardiac anaesthesia – fast-track – alfentanil – remifentanil – pain

Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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