Sage Journals: Discover world-class research

Abstract

A postal survey of consultant anaesthetists in the UK and Ireland was undertaken in the summer of 1989 to determine anaesthetic practice during cardiopulmonary bypass (CPB). A questionnaire requiring details of anaesthetic agents used for induction of anaesthesia, maintenance of anaesthesia before CPB and during CPB was sent to 198 consultants. There was a 52% response rate. Intravenous anaesthetics were used during induction of anaesthesia, maintenance of anaes thesia and during CPB by 100%, 64% and 81 % of respondents respectively. Opioids were used by 96%, 96% and 80%, volatile anaesthetics by 73%, 95% and 36%, and neuromuscular blockers by 100%, 97% and 90%. It is concluded that a balanced anaesthetic technique using neuromuscular blockers, opioids and intravenous anaesthetics is that which is most commonly used during CPB.

Get full access to this article

View all access options for this article.

References

Alston RP Anaesthesia and cardiopulmonary bypass: an historical review. Perfusion 1992; 7: 77-88.

Bovill JG , Sebel PS , Stanely TH Opioid analgesics in anesthesia: with special reference to their use in cardiovascular anesthesia. Anesthesiology 1984; 61: 731-55.

Stauer B. Contractile responses to morphine, piritramide, meperidine and fentanyl: a comparative study of the effects on isolated ventricular myocardium. Anesthesiology 1972; 37: 304-10.

Aps C. , Hutter JA , Williams BT Anesthetic management and post-operative care of cardiac surgical patients in the general recovery ward. Anaesthesia 1986;41:533-37.

Rees GJ , Gray TC Methyl-n-propyl ether. Br J Anaesth 1950; 22: 83-91.

Russell GN , Wright EL , Fox MA , Douglas EJ , Cockshott ID Propofol-fentanyl anaesthesia for coronary artery surgery and cardiopulmonary bypass. Anaesthesia 1989; 4: 205-208.

Nussmeier NA , Lambert ML , Moskowitz GJ et al. Washin and washout of isoflurane administered via bubble oxygenator during hypothermic cardiopulmonary bypass. Anesthesiology 1989; 71: 519-25.

Goldman L. , Shah MV , Hebden MW Memory of cardiac anaesthesia: psychological sequelae in cardiac patients of intra-operative suggestion and operating room conversation. Anaesthesia 1987; 42: 596-603. 9 Irish CL , Murkin JM , Cleland A. , MacDonald JL , Mayer R. Neuromuscular blockade significantly decreases systemic oxygen uptake during hypothermic cardiopulmonary bypass. J Cardiothorac Vasc Anesth 1991;5:132-34.

Hug CC Does opioid anesthesia exist? Anesthesiology 1990; 73: 1-4.

10.

Denny NM , Kneeshaw JD Vecuronium and atracurium infusions during hypothermic cardiopulmonary bypass . Anaesthesia 1986; 41: 919-22.

11.

Gorman JK Optimal pressures and flows during cardiopulmonary bypass. Pro: a low-flow, low pressure technique is acceptable. J Cardiothorac Vasc Anesth 1991; 5: 399-401.

12.

Hecher BR , Knopey KD Optimal pressures and flows during cardiopulmonary bypass. Con: pressure is more important than flow. J Cardiothorac Vasc Anesth 1991; 5: 402-404.

13.

Shaw PJ , Bates D. , Cartilidge Nef et al. Neurological complications of coronary artery bypass graft surgery: a six month follow-up. Br Med J 1986; 293: 165-67.

14.

Nussmeier NA , Arlund C. , Slogoff S. Neuropsychiatric complications after cardiopulmonary bypass: cerebral protection by a barbiturate. Anesthesiology 1986; 64: 165-70.

15.

Zaidan JR , Klockaney A. , Martin WM , Zielger JS , Harless DM , Andrews RB Effect of thiopental on neurological outcome following coronary artery bypass grafting. Anesthesiology 1991; 74: 406-11.

Anaesthesia and cardiopulmonary bypass: a UK and Ireland survey

Abstract

Get full access to this article

References