[Fast-track management for conventional coronary artery bypass surgery].
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.
Aoyagi
Mitsuo
M
Anesthesia & Analgesia Service, Chiba Aoba Municipal Hospital, Chiba, Japan.
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