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British Journal of Anaesthesia 2008 100(1):3-5; doi:10.1093/bja/aem352
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Thoracic epidural anaesthesia for cardiac surgery: are we missing the point?

The first 10% of the full text of this article appears below.

Anaesthetic techniques have always had to adapt to changing surgical interventions. Several developments over the last 15 yr have changed practice in cardiac surgery. First, standard access to the heart via median sternotomy can often be replaced by less invasive approaches, as used in minimally invasive direct coronary artery bypass surgery, robotic surgery, or endovascular valve surgery.1 Secondly, perioperative management strategies have adopted more ‘physiological’ techniques, such as normothermic extracorporeal circulation2 3 or blood cardioplegia.4 Thirdly, off-pump aorto-coronary bypass grafting (OPCAB) avoiding extracorporeal circulation has been shown to have the potential to decrease postoperative morbidity.5 6 The absence of extracorporeal circulation . . . [Full Text of this Article]

Have these novel changes in cardiac surgery practice been accompanied by a change in anaesthetic techniques?

Is ultra-fast-track cardiac anaesthesia and surgery the answer?

T. M. Hemmerling* and F. Carli

Department of Anesthesiology Montreal General Hospital and Cardiac Surgery McGill University 1650 Cedar Avenue Montreal H3G 1B7 Canada

N. Noiseux

University of Montreal Hotel-Dieu Montreal Quebec Canada

* E-mail: thomashemmerling@hotmail.com


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Early tracheal extubation and UK fast track cardiac surgery: are we missing the point?
Richard R Marks, et al.
British Journal of Anaesthesia, 18 Feb 2008 [Full text]