Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease
Cardiac operations may be performed in a conscious, spontaneously breathing patient, but it is difficult to justify an awake technique in patients undergoing coronary artery procedures with low operative risk. We describe an elderly patient with severe chronic obstructive pulmonary disease in whom g...
Gespeichert in:
| Veröffentlicht in: | The Annals of thoracic surgery 2008-07, Vol.86 (1), p.293-295 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 295 |
|---|---|
| container_issue | 1 |
| container_start_page | 293 |
| container_title | The Annals of thoracic surgery |
| container_volume | 86 |
| creator | Knapik, Piotr, MD, PhD Przybylski, Roman, MD Nadziakiewicz, Paweł, MD Zembala, Marian, MD, PhD |
| description | Cardiac operations may be performed in a conscious, spontaneously breathing patient, but it is difficult to justify an awake technique in patients undergoing coronary artery procedures with low operative risk. We describe an elderly patient with severe chronic obstructive pulmonary disease in whom general anesthesia was contraindicated. A valve procedure was performed under thoracic epidural anesthesia alone, thus avoiding intubation and mechanical ventilation. The patient had an uneventful postoperative course and excellent recovery. |
| doi_str_mv | 10.1016/j.athoracsur.2008.01.034 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69240242</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003497508001641</els_id><sourcerecordid>69240242</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492t-42702b5c7e54c570b0e87fbc61fc692027467cadc517cacbaa7e48baaf5ed1b83</originalsourceid><addsrcrecordid>eNqNkU1P3DAQhi1EVba0fwH5Um5Jx44dJxckCrRUQirS9uNoTZwJeMkmYCeL-Pf1aldF6qmnkeVn3hk9wxgXkAsQ5adVjtP9GNDFOeQSoMpB5FCoA7YQWsuslLo-ZAsAKDJVG33E3sW4Sk-Zvt-yI1FpUyhVLNjl-TM-EL8mDBP_hf2G-HIOdxReuB848lucPA0T_-2ne76kDQXit3O_HgdMyKWPhJHeszcd9pE-7Osx-_nl6sfFdXbz_eu3i_ObzKlaTpmSBmSjnSGtnDbQAFWma1wpOlfWEqRRpXHYOi1ScQ2iIVWl0mlqRVMVx-x0l_sYxqeZ4mTXPjrqexxonKNNIQqkkgmsdqALY4yBOvsY_DptbAXYrUG7sq8G7dagBWGTwdR6sp8xN2tqXxv3yhLwcQ9gdNh3AQfn419OgjISapO4zzuOkpGNp2CjSyodtT6Qm2w7-v_Z5uyfENf7wae5D_RCcTXOYUjGrbBRWrDL7cW3B4cKUq4SxR9vQaja</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69240242</pqid></control><display><type>article</type><title>Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Knapik, Piotr, MD, PhD ; Przybylski, Roman, MD ; Nadziakiewicz, Paweł, MD ; Zembala, Marian, MD, PhD</creator><creatorcontrib>Knapik, Piotr, MD, PhD ; Przybylski, Roman, MD ; Nadziakiewicz, Paweł, MD ; Zembala, Marian, MD, PhD</creatorcontrib><description>Cardiac operations may be performed in a conscious, spontaneously breathing patient, but it is difficult to justify an awake technique in patients undergoing coronary artery procedures with low operative risk. We describe an elderly patient with severe chronic obstructive pulmonary disease in whom general anesthesia was contraindicated. A valve procedure was performed under thoracic epidural anesthesia alone, thus avoiding intubation and mechanical ventilation. The patient had an uneventful postoperative course and excellent recovery.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2008.01.034</identifier><identifier>PMID: 18573443</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Anesthesia, Epidural - methods ; Anesthesia, General ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aortic Valve - physiopathology ; Aortic Valve - surgery ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiothoracic Surgery ; Contraindications ; Follow-Up Studies ; Heart Valve Diseases - complications ; Heart Valve Diseases - diagnosis ; Heart Valve Diseases - surgery ; Heart Valve Prosthesis Implantation - methods ; Humans ; Hypertension, Pulmonary - complications ; Hypertension, Pulmonary - diagnosis ; Male ; Medical sciences ; Mitral Valve - physiopathology ; Mitral Valve - surgery ; Pneumology ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Risk Assessment ; Severity of Illness Index ; Surgery ; Treatment Outcome</subject><ispartof>The Annals of thoracic surgery, 2008-07, Vol.86 (1), p.293-295</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2008 The Society of Thoracic Surgeons</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-42702b5c7e54c570b0e87fbc61fc692027467cadc517cacbaa7e48baaf5ed1b83</citedby><cites>FETCH-LOGICAL-c492t-42702b5c7e54c570b0e87fbc61fc692027467cadc517cacbaa7e48baaf5ed1b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20472097$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18573443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knapik, Piotr, MD, PhD</creatorcontrib><creatorcontrib>Przybylski, Roman, MD</creatorcontrib><creatorcontrib>Nadziakiewicz, Paweł, MD</creatorcontrib><creatorcontrib>Zembala, Marian, MD, PhD</creatorcontrib><title>Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Cardiac operations may be performed in a conscious, spontaneously breathing patient, but it is difficult to justify an awake technique in patients undergoing coronary artery procedures with low operative risk. We describe an elderly patient with severe chronic obstructive pulmonary disease in whom general anesthesia was contraindicated. A valve procedure was performed under thoracic epidural anesthesia alone, thus avoiding intubation and mechanical ventilation. The patient had an uneventful postoperative course and excellent recovery.</description><subject>Aged</subject><subject>Anesthesia, Epidural - methods</subject><subject>Anesthesia, General</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aortic Valve - physiopathology</subject><subject>Aortic Valve - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Contraindications</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Diseases - complications</subject><subject>Heart Valve Diseases - diagnosis</subject><subject>Heart Valve Diseases - surgery</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - complications</subject><subject>Hypertension, Pulmonary - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mitral Valve - physiopathology</subject><subject>Mitral Valve - surgery</subject><subject>Pneumology</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - diagnosis</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1P3DAQhi1EVba0fwH5Um5Jx44dJxckCrRUQirS9uNoTZwJeMkmYCeL-Pf1aldF6qmnkeVn3hk9wxgXkAsQ5adVjtP9GNDFOeQSoMpB5FCoA7YQWsuslLo-ZAsAKDJVG33E3sW4Sk-Zvt-yI1FpUyhVLNjl-TM-EL8mDBP_hf2G-HIOdxReuB848lucPA0T_-2ne76kDQXit3O_HgdMyKWPhJHeszcd9pE-7Osx-_nl6sfFdXbz_eu3i_ObzKlaTpmSBmSjnSGtnDbQAFWma1wpOlfWEqRRpXHYOi1ScQ2iIVWl0mlqRVMVx-x0l_sYxqeZ4mTXPjrqexxonKNNIQqkkgmsdqALY4yBOvsY_DptbAXYrUG7sq8G7dagBWGTwdR6sp8xN2tqXxv3yhLwcQ9gdNh3AQfn419OgjISapO4zzuOkpGNp2CjSyodtT6Qm2w7-v_Z5uyfENf7wae5D_RCcTXOYUjGrbBRWrDL7cW3B4cKUq4SxR9vQaja</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Knapik, Piotr, MD, PhD</creator><creator>Przybylski, Roman, MD</creator><creator>Nadziakiewicz, Paweł, MD</creator><creator>Zembala, Marian, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease</title><author>Knapik, Piotr, MD, PhD ; Przybylski, Roman, MD ; Nadziakiewicz, Paweł, MD ; Zembala, Marian, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-42702b5c7e54c570b0e87fbc61fc692027467cadc517cacbaa7e48baaf5ed1b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Anesthesia, Epidural - methods</topic><topic>Anesthesia, General</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aortic Valve - physiopathology</topic><topic>Aortic Valve - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiothoracic Surgery</topic><topic>Contraindications</topic><topic>Follow-Up Studies</topic><topic>Heart Valve Diseases - complications</topic><topic>Heart Valve Diseases - diagnosis</topic><topic>Heart Valve Diseases - surgery</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - complications</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mitral Valve - physiopathology</topic><topic>Mitral Valve - surgery</topic><topic>Pneumology</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - diagnosis</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knapik, Piotr, MD, PhD</creatorcontrib><creatorcontrib>Przybylski, Roman, MD</creatorcontrib><creatorcontrib>Nadziakiewicz, Paweł, MD</creatorcontrib><creatorcontrib>Zembala, Marian, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knapik, Piotr, MD, PhD</au><au>Przybylski, Roman, MD</au><au>Nadziakiewicz, Paweł, MD</au><au>Zembala, Marian, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>86</volume><issue>1</issue><spage>293</spage><epage>295</epage><pages>293-295</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Cardiac operations may be performed in a conscious, spontaneously breathing patient, but it is difficult to justify an awake technique in patients undergoing coronary artery procedures with low operative risk. We describe an elderly patient with severe chronic obstructive pulmonary disease in whom general anesthesia was contraindicated. A valve procedure was performed under thoracic epidural anesthesia alone, thus avoiding intubation and mechanical ventilation. The patient had an uneventful postoperative course and excellent recovery.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18573443</pmid><doi>10.1016/j.athoracsur.2008.01.034</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-4975 |
| ispartof | The Annals of thoracic surgery, 2008-07, Vol.86 (1), p.293-295 |
| issn | 0003-4975 1552-6259 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69240242 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Anesthesia, Epidural - methods Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aortic Valve - physiopathology Aortic Valve - surgery Biological and medical sciences Cardiology. Vascular system Cardiothoracic Surgery Contraindications Follow-Up Studies Heart Valve Diseases - complications Heart Valve Diseases - diagnosis Heart Valve Diseases - surgery Heart Valve Prosthesis Implantation - methods Humans Hypertension, Pulmonary - complications Hypertension, Pulmonary - diagnosis Male Medical sciences Mitral Valve - physiopathology Mitral Valve - surgery Pneumology Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - diagnosis Risk Assessment Severity of Illness Index Surgery Treatment Outcome |
| title | Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T18%3A30%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Awake%20Heart%20Valve%20Surgery%20in%20a%20Patient%20With%20Severe%20Pulmonary%20Disease&rft.jtitle=The%20Annals%20of%20thoracic%20surgery&rft.au=Knapik,%20Piotr,%20MD,%20PhD&rft.date=2008-07-01&rft.volume=86&rft.issue=1&rft.spage=293&rft.epage=295&rft.pages=293-295&rft.issn=0003-4975&rft.eissn=1552-6259&rft.coden=ATHSAK&rft_id=info:doi/10.1016/j.athoracsur.2008.01.034&rft_dat=%3Cproquest_cross%3E69240242%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69240242&rft_id=info:pmid/18573443&rft_els_id=1_s2_0_S0003497508001641&rfr_iscdi=true |