Central neuraxial analgesia in cardiac surgery

Octavio Falcucci

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

An ideal anesthetic for cardiac surgery should provide intraoperative cardiovascular stability and a stable and pain-free recovery. High-dose narcotics, whether given as an initial bolus or by the continuous infusion method, certainly have brought current practice closer to this ideal. Central neuraxial analgesia is an alternative to high-dose narcotics, but its use has long been an issue of debate and concern in cardiac surgery. The need for full heparinization for cardiopulmonary bypass has curtailed the use of central neuraxial blocks. Until fairly recently, very few centers dared to attempt this kind of effective analgesia in cardiac surgery. However, during the last few years more and more reports have been published on the efficacy and safety of this type of analgesia when appropriate precautions are taken. The objective of this report is to examine some of these issues.

Original languageEnglish (US)
Pages (from-to)45-50
Number of pages6
JournalMount Sinai Journal of Medicine
Volume69
Issue number1-2
StatePublished - Feb 5 2002

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Analgesia
Thoracic Surgery
Narcotics
Cardiopulmonary Bypass
Anesthetics
Safety
Pain-Free

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Falcucci, Octavio. / Central neuraxial analgesia in cardiac surgery. In: Mount Sinai Journal of Medicine. 2002 ; Vol. 69, No. 1-2. pp. 45-50.
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Falcucci, O 2002, 'Central neuraxial analgesia in cardiac surgery', Mount Sinai Journal of Medicine, vol. 69, no. 1-2, pp. 45-50.

Central neuraxial analgesia in cardiac surgery. / Falcucci, Octavio.

In: Mount Sinai Journal of Medicine, Vol. 69, No. 1-2, 05.02.2002, p. 45-50.

Research output: Contribution to journalReview article

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