title: [Fast-track management for conventional coronary artery bypass surgery].
abstract: BACKGROUND
  Recent introduction of off-pump coronary artery bypass grafting (CABG) emphasizes the advantage of early hospital discharge. Fast-track management using epidural block and autologous fresh blood transfusion might be possible in conventional CABG.
  
  
  METHODS
  Fast-track anesthesia using high thoracic and lumbar epidural analgesia and pre-CPB autologous fresh blood transfusion was used in 19 patients undergoing on-pump CABG.
  
  
  RESULTS
  Mean blood-loss was about 283 (+/-140) ml during 6 hours after surgery. Nine patients were extubated in the operating room, two cases in one hour, and six cases in 6 hours after surgery. Seventeen patients could have lunch or supper the day after surgery.
  
  
  CONCLUSIONS
  These techniques allowed early extubation and early drinking after on-pump CABG surgery. There were no complications in these patients.
authors.affiliation: Anesthesia & Analgesia Service, Chiba Aoba Municipal Hospital, Chiba, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Aoyagi
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural; D000758:Anesthesia; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008297:Male; D019990:Perioperative Care / Q000379:methods*; D013997:Time Factors