Linked Life Data

18277579

Source:http://linkedlifedata.com/resource/pubmed/id/18277579

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2008-2-18
pubmed:abstractText
We experienced anesthetic management for on-pump beating coronary arterial bypass graft in a 73-year-old male patient with cardiac resynchronization therapy (CRT), a non-pharmacological therapy in chronic heart failure. Anesthesia was induced and maintained with sevoflurane and fentanyl under intraaortic balloon pump support. When patient's heartbeat exceeded a pacemaker rate, blood pressure decreased to below 60 mmHg. We tried to perform CRT by adjusting its program above his heart rate, and then blood pressure returned to normal levels. After coronary arterial bypass had been established, it was difficult to wean the patient from cardiopulmonary bypass (CPB) because his own heart rate was over 100 beats min(-1). For the purpose of controlling the heart rate, we administered landiolol intravenously. After injecting a total of 2.5 mg of landiolol, his heart rate was reduced and subsequently CRT started to work, which induced a stable hemodynamic condition enough to wean from CPB. According to our clinical experience, it is important to perform a rapid treatment against tachycardia in a patient with CRT Thus, landiolol is useful for such a rapid treatment against tachycardia with maintaining the hemodynamics.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0021-4892
pubmed:author
pubmed:issnType
Print
pubmed:volume
57
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
226-9
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
[Anesthetic management for on-pump coronary arterial bypass graft in a patient with cardiac resynchronization therapy].
pubmed:affiliation
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
pubmed:publicationType
Journal Article, English Abstract, Case Reports