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.
Lucchetti
V
V
Casa di Cura Montevergine, Avellino, Italy.
Moscariello
C
C
Catapano
D
D
Angelini
G D
GD
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