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首页> 外文期刊>Journal of cardiothoracic and vascular anesthesia >High thoracic epidural analgesia in cardiac surgery: Part 2 - High thoracic epidural analgesia does not reduce time in or improve quality of recovery in the intensive care unit
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High thoracic epidural analgesia in cardiac surgery: Part 2 - High thoracic epidural analgesia does not reduce time in or improve quality of recovery in the intensive care unit

机译：心脏外科手术中的高胸膜硬膜外镇痛：第2部分-重症监护室中的高胸膜硬膜外镇痛不会减少时间或改善康复质量

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Objective: To evaluate the postoperative effect of high thoracic epidural analgesia on the time in the intensive care unit (ICU) and the quality of cardiac recovery in patients undergoing cardiac surgery. Design: A randomized prospective study. Participants: Sixty low-risk patients 65 to 80 years of age scheduled for elective coronary artery bypass graft surgery with or without aortic valve replacement. Setting: A university hospital. Interventions: Patients randomized to receive high thoracic epidural analgesia (HTEA) as a supplement to general anesthesia. Measurements and Main Results: The eligible time to discharge from the ICU and the quality of recovery were evaluated by an objective ICU scoring system. The time to eligible discharge from the ICU, the ventilation time, and the actual time in the ICU were not shorter in the HTEA group compared with patients receiving conventional general anesthesia. Patients receiving HTEA in addition to general anesthesia received less morphine postoperatively but with no consequent beneficial effect on respiration, nausea, sedation, or motor function. Conclusions: HTEA does not reduce the time in the ICU or improve the quality of recovery in the ICU.
机译：目的：评估高胸腔硬膜外镇痛对重症监护病房（ICU）的时间及心脏手术患者心脏恢复质量的影响。设计：一项随机前瞻性研究。参加者：60名65至80岁的低危患者计划接受择期冠状动脉搭桥术并伴或不伴主动脉瓣置换术。地点：大学医院。干预措施：患者随机接受高胸膜硬膜外镇痛（HTEA）作为全身麻醉的补充。测量和主要结果：通过客观的ICU评分系统评估合格ICU出院时间和恢复质量。与接受常规全身麻醉的患者相比，HTEA组的ICU合格出院时间，通气时间和ICU的实际时间并不短。除全身麻醉外，接受HTEA的患者术后接受的吗啡较少，但对呼吸，恶心，镇静或运动功能无任何有益效果。结论：HTEA不会减少ICU中的时间或改善ICU中的恢复质量。

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