Euvolemic off pump coronary surgery further improves early postoperative outcomes.
Ann Card Anaesth
; 25(1): 11-18, 2022.
Article
in En
| MEDLINE
| ID: mdl-35075015
ABSTRACT
BACKGROUND:
Fluid resuscitation during Off-Pump Coronary Surgery (OPCABG) is still not protocolized and depends on multiple variables. We are exploring in this study whether a restrictive or euvolemic approach has any impact on short term surgical outcomes following OPCABG.METHODS:
It is a retrospective study of 300 patients analyzed based on the intraoperative fluid requirement with 150 patients in each group (Group I Fluid <2 Litres, Group II Fluid >2 Litres).RESULTS:
Multivariable analysis showed echocardiography variables such as E/e ratio, LA volume index, and atrial fibrillation (AF). LA volume index is related to the higher fluid requirement. Group II had significantly higher ventilation time (P < 0.05), drain output (P = 0.05), drain removal time (<0.05), inotropic requirement, and diuretic use.CONCLUSION:
The requirement of the intraoperative fluid was associated with various factors including diastolic dysfunction (left atrial volume index, left ventricle mass index, E/e ratio) and preoperative dual antiplatelet use. Group II patients had longer ventilation time, diuretics use, high drain output, and required drains for a longer period of time. Although there was no statistical difference among two groups as far as postoperative AF concerned, a reversal of AF to sinus rhythm was delayed in group II patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Atrial Fibrillation
/
Heart Atria
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Ann Card Anaesth
Year:
2022
Document type:
Article
Affiliation country:
Australia