[Anesthetic management of coronary artery bypass grafting for unstable angina pectoris in a patient undergoing home oxygen therapy].
A 70-year-old man with pneumoconiosis receiving home oxygen therapy presented with chest pain. Coronary angiogram showed severe stenosis of his left main trunks and required emergency off-pump coronary artery bypass grafting. Anesthesia was induced and maintained with propofol, fentanyl and vecuronium. The trachea was intubated and the lungs were ventilated with oxygen and air maintaining the PaO2 between 80-100 mmHg and the PaCO2 between 55-65 mmHg. The operation was performed uneventfully. In the intensive care unit, the trachea was extubated after ensuring adequate respiratory function. The postoperative course was satisfactory.
Arai
Takero
T
Department of Anesthesiology, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555.
Enomoto
Yoshiro
Y
Kuno
Yuichiro
Y
Inoue
Hisashi
H
Okuda
Yasuhisa
Y
D000368:Aged; D000758:Anesthesia; D000787:Angina Pectoris / Q000150:complications / Q000601:surgery*; D002303:Cardiac Output, Low / Q000517:prevention & control; D047549:Coronary Artery Bypass, Off-Pump; D004630:Emergencies; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D010102:Oxygen Inhalation Therapy; D019990:Perioperative Care; D011009:Pneumoconiosis / Q000150:complications / Q000628:therapy; D011728:Pyridones / Q000008:administration & dosage; D016896:Treatment Outcome
D007093:Imidazoles; D011728:Pyridones; C059498:olprinone