[Combined general anesthesia and high thoracic epidural analgesia in myocardial revascularization of the failing heart in a patient on hemodialysis].
Terminal renal failure is often associated with severe coronary artery disease that should be treated with surgical myocardial revascularization. Since perioperative morbidity and mortality rates in these patients are high, the best way and the time for surgical intervention are still uncertain. We present the patient with end-stage renal disease, on chronic program of hemodialysis, who had underwent off-pump coronary artery bypass grafting and high thoracic epidural anaesthesia, followed by early extubation. To our knowledge, off-pump surgical myocardial revascularization in patients on hemodialysis using this anaesthetic technique has not yet been presented in our literature.
Klinika za anesteziju i reanimaciju Instituta za kardiovaskularne bolesti Dedinje, Beograd.
V
V
Nesković
P
P
Milojević
N
N
Dirmković
D015360:Analgesia, Epidural; D000768:Anesthesia, General; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis