Coronary artery bypass grafting in the awake patient: combined thoracic epidural and lumbar subarachnoid block.
High thoracic epidural anaesthesia has recently been proposed to perform surgical revascularisation with arterial grafts in awake patients. However, in high-risk patients with associated co-morbidity it is not always possible to perform complete arterial revascularisation. A technique which combines thoracic epidural and selective lumbar subarachnoid block is described, allowing harvesting of saphenous vein and complete surgical revascularisation in awake patients.
Casa di Cura Montevergine, Avellino, Italy.
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V
Lucchetti
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C
Moscariello
D
D
Catapano
G D
GD
Angelini
D000368:Aged; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal / Q000379:methods*; D001364:Awareness; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013904:Thoracic Vertebrae