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Is there any benefit in associating neuraxial anesthesia to general anesthesia for coronary artery bypass graft surgery?

Overview of attention for article published in Brazilian Journal of Anesthesiology, March 2015
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Title
Is there any benefit in associating neuraxial anesthesia to general anesthesia for coronary artery bypass graft surgery?
Published in
Brazilian Journal of Anesthesiology, March 2015
DOI 10.1016/j.bjane.2013.09.015
Pubmed ID
Authors

Fabiano Timbó Barbosa, Célio Fernando de Sousa Rodrigues, Aldemar Araújo Castro, Rafael Martins da Cunha, Tatiana Roa Bezerra Wanderley Barbosa

Abstract

The use of neuraxial anesthesia in cardiac surgery is recent, but the hemodynamic effects of local anesthetics and anticoagulation can result in risk to patients. To review the benefits of neuraxial anesthesia in cardiac surgery for CABG through a systematic review of systematic reviews. The search was performed in Pubmed (January 1966 to December 2012), Embase (1974 to December 2012), The Cochrane Library (volume 10, 2012) and Lilacs (1982 to December 2012) databases, in search of articles of systematic reviews. The following variables: mortality, myocardial infarction, stroke, in-hospital length of stay, arrhythmias and epidural hematoma were analyzed. The use of neuraxial anesthesia in cardiac surgery remains controversial. The greatest benefit found by this review was the possibility of reducing postoperative arrhythmias, but this result was contradictory among the identified findings. The results of findings regarding mortality, myocardial infarction, stroke and in-hospital length of stay did not show greater efficacy of neuraxial anesthesia.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 21 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 14%
Student > Master 3 14%
Student > Doctoral Student 2 10%
Researcher 2 10%
Student > Ph. D. Student 2 10%
Other 3 14%
Unknown 6 29%
Readers by discipline Count As %
Medicine and Dentistry 10 48%
Agricultural and Biological Sciences 1 5%
Social Sciences 1 5%
Sports and Recreations 1 5%
Unknown 8 38%