Coronary artery bypass grafting in the awake patient: combined thoracic epidural and lumbar subarachnoid block. |
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| Authors: | V Lucchetti C Moscariello D Catapano G D Angelini |
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| Affiliation: | Casa di Cura Montevergine, Avellino, Italy. |
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| Abstract: | High thoracic epidural anaesthesia has recently been proposed to perform surgical revascularisation with arterial grafts in awake patients. However, in high-risk patients with associated co-morbidity it is not always possible to perform complete arterial revascularisation. A technique which combines thoracic epidural and selective lumbar subarachnoid block is described, allowing harvesting of saphenous vein and complete surgical revascularisation in awake patients. |
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