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Comparison of propofol and fentanyl anaesthesia in coronary artery versus valve surgery
Author(s) -
Bell J.,
Sartain J.,
Wilkinson G. A. L.,
Sherry K. M.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb15122.x
Subject(s) - medicine , pulmonary wedge pressure , propofol , anesthesia , fentanyl , blood pressure , mean arterial pressure , heart rate , hemodynamics , cardiology , artery , coronary artery bypass surgery , cardiac index , stroke volume , cardiac output
Summary Total intravenous anaesthesia with propofol and fentanyl was used in 23 patients undergoing coronary artery and 16 patients undergoing valve surgery and the haemodynamic effects in the two groups were compared. Baseline values showed that the valve surgery group had a higher mean heart rate, pulmonary artery wedge pressure and pulmonary artery pressure and smaller mean stroke volume than the coronary artery surgery group. In both groups, heart rate, arterial pressure, pulmonary artery wedge pressure, pulmonary artery pressure and cardiac index decreased during surgery. In the valve surgery group there were greater percentage decreases in heart rate, mean arterial pressure and diastolic arterial pressure. Overall, propofol and moderate‐dose fentanyl anaesthesia was no more detrimental to the haemodynamics in patients undergoing valve surgery when compared to those undergoing coronary artery surgery.