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Volatile anaesthesia during cardiopulmonary bypass.
V McMullan1, R P Alston2, J Tyrrell3
1Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.
Perfusion
|April 16, 2014
Summary
Volatile anesthetic agents are being reconsidered for cardiac anesthesia during cardiopulmonary bypass due to potential myocardial protection. This review covers their administration and practical challenges.
Area of Science:
- Anesthesiology
- Cardiovascular Surgery
Background:
- Administering anesthesia during cardiopulmonary bypass presents challenges.
- Total intravenous anesthesia is currently favored due to difficulties with volatile agents.
Purpose of the Study:
- To review the use of volatile anesthetic agents during cardiopulmonary bypass.
- To address practical considerations for volatile agent administration in cardiac anesthesia.
Main Methods:
- Literature review on volatile anesthetic agents and cardiopulmonary bypass.
- Discussion of practical aspects of anesthetic management.
Main Results:
- Volatile agents may offer myocardial preconditioning benefits, reducing mortality and myocardial infarction.
- Interest in volatile agents for cardiac anesthesia is resurging.
Conclusions:
- Despite historical challenges, volatile agents warrant consideration for cardiac anesthesia during cardiopulmonary bypass.
- Further evaluation of practical administration techniques is needed.
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