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

Overview

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


Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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