Esmolol resistance during anesthesia for thoracoscopically assisted coronary artery bypass grafting.
The anesthetic technique for two patients who underwent thoracoscopic harvesting of the LIMA followed by a mini-thoracotomy for surgical myocardial revascularization of isolated LAD artery stenosis is reported. Both patients unexpectedly showed esmolol resistance during anastomosis of the LIMA to the LAD artery. However, excellent graft patency, early extubation, and rapid recoveries were achieved.
Ti
L K
LK
Department of Anaesthesia, National University Hospital, Singapore.
Cheong
K F
KF
Chen
F G
FG
D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage*; D000328:Adult; D000772:Anesthesia, Local; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D004351:Drug Resistance; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D011412:Propanolamines / Q000008:administration & dosage*; D013610:Tachycardia / Q000188:drug therapy; D013906:Thoracoscopy
D000319:Adrenergic beta-Antagonists; D011412:Propanolamines; C036604:esmolol