Coronary artery bypass grafting in the awake patient: combined thoracic epidural and lumbar subarachnoid block | Zendy

Vincenzo Lucchetti | Zendy

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Coronary artery bypass grafting in the awake patient: combined thoracic epidural and lumbar subarachnoid block

Author(s) -

Vincenzo Lucchetti

Publication year - 2004

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2004.05.030

Subject(s) - medicine , lumbar , anesthesia , epidural block , surgery , subarachnoid hemorrhage , artery , bypass grafting

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.

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