Techniques in Regional Anesthesia & Pain Management
Volume 12, Issue 1 , Pages 54-56 , January 2008

Spinal anesthesia in cardiac surgery

  • Trevor W.R. Lee, BSc, BScMed, MD, MRCA, FRCPC, FASE

      Affiliations

    • Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada
    • Department of Anesthesia and Perioperative Medicine, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
    • ,
  • Eric Jacobsohn, MBChB, MHPE, FRCPC

      Affiliations

    • Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada
    • Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada.
    • Corresponding Author InformationAddress reprint requests and correspondence: Eric Jacobsohn, MBChB, MHPE, FRCP, Winnipeg Regional Health Authority (WRHA) Anesthesia Program, Room LB315 Lennox Bell Lodge, 60 Pearl Street, Winnipeg, Manitoba, Canada R3E 1X2.

References 

  1. Nguyen P, Noiseux N, Bracco D, et al. Canadian survey on the practice of regional anesthesia for cardiac surgery. Canadian Anesthesiologists Society Annual Meeting Abstracts 42533. 2007;
  2. Maharaj C, Laffey JG. New strategies to control the inflammatory response in cardiac surgery. Curr Opin Anaesthesiol. 2004;17:35–48
  3. Mathews ET, Abrams LD. Intrathecal morphine in open heart surgery. Lancet. 1980;2:543
  4. Aun C, Thomas D, St. John Jones L, et al. Intrathecal morphine in cardiac surgery. Eur J of Anaesthesiol. 1985;2:419–426
  5. Fitzpatrick GJ, Moriarty DC. Intrathecal morphine in the management of pain following cardiac surgery. Br J Anaesth. 1988;60:639–644
  6. Vanstrum GS, Bjornson KM, Ilko R. Postoperative effects of intrathecal morphine in coronary artery bypass surgery. Anesth Analg. 1988;67:261–267
  7. Chaney MA, Smith KR, Barclay JC, et al. Large-dose intrathecal morphine for coronary artery bypass grafting. Anesth Analg. 1996;83:21–22
  8. Jacobsohn E, Lee TW, Amadeo RJ, et al. Low-dose intrathecal morphine does not delay early extubation after cardiac surgery. Can J Anaesth. 2005;52:783–788
  9. Kowalewski RJ, MacAdams CJ, Eagle CJ, et al. Anaesthesia for coronary artery bypass surgery supplemented with subarachnoid bupivacaine and morphine: a report of 18 cases. Can J Anaesth. 1994;41:1189–1195
  10. Lee TW, Grocott HP, Schwinn D, et al. High spinal anesthesia for cardiac surgery: effects on beta-adrenergic receptor function, stress response, and hemodynamics. Anesthesiology. 2003;98:499–510
  11. Mertin S, Sawatzky JV, Diehl-Jones W, et al: Total spinal anesthesia for cardiac surgery: can it make a difference? Dynamics of Critical Care Annual Conference 2007
  12. Lee TWR. Regional anesthesia. In:  Mackay J,  Arrowsmith JE editor. Core Topics in Cardiac Anaesthesia. Cambridge: GMM Ltd; 2004;p. 327–330
  13. Ho AMH, Chung DC, Joynt GM. Neuraxial blockade and hematoma in cardiac surgery: estimating the risk of a rare adverse event that has not (yet) occurred. Chest. 2000;117:551–555
  14. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA consensus conference on neuraxial anesthesia and anticoagulation. Reg Anesth Pain Med. 2003;28:172–197
  15. Patel K, Chaney MA, Scott NB, et al. Case 3-2007: successful cardiac surgery in a “Pulmonary Cripple” without thoracic epidural anesthesia. J Cardiothorac Vasc Anesth. 2007;21:443–452
  16. Lee TWR, Kowalski S. The effects of high spinal anesthesia on hemodynamics, stress response and post-operative pain control in patients undergoing aortic valve replacement for aortic stenosis and or coronary artery bypass graft surgery. 2006;ClinicalTrials.gov Identifier NCT00348920: clinicaltrials.gov/ct/show/NCT00348920, July

PII: S1084-208X(07)00092-4

doi: 10.1053/j.trap.2007.10.008

Techniques in Regional Anesthesia & Pain Management
Volume 12, Issue 1 , Pages 54-56 , January 2008

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