Fast-track and ultra fast-track cardiac anaesthesia - postoperative pain and other parameters observation
Abstract
We have been using fast-track techniques of cardiac anaesthesia (alfentanil and remifentanil based, respectively) routinely at our department since 2001. The aim of the study was to compare these two methods.
Material and Method: In the prospective follow up study were in 2006 observed 71 consecutive patients including all types of standard cardiothoracic procedures. There were following parameters observed: time to extubation, length of ICU stay, in-department stay, incidence of postoperative atrial fibrillation, blood gases value and a postoperative pain grade (measured 1 h after extubation and on 1st POD by visual analogue scale of pain and SF McGill's questionnaire) and the number of analgesic doses.
Results: There were no statistically significant differences in most of observed parameters. Discussion: Both methods provide an early and safe extubation of patients undergoing cardiothoracic surgery