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Case ReportOpen Access
Anesthetic Management for Coronary Bypass Patients Report of 4 Patients
Suksompong S 
,
Prakanrattana U ,
Sriyoschati S
,
Prakanrattana U ,
Sriyoschati S We reported our own experience in four patients with chronic renal failure on main-
tenance hemodialysis undergoing coronary artery bypass graft surgery (CABGS). A balanced
general anesthesia with endotracheal intubation was successfully achieved by using midazolam,
atracurium, fentanyl, pentothal, nitrous oxide in oxygen and isoflurane. All patients were hemo-
dialyzed within 24 hours before operation. One patient started peritoneal dialysis 10 hours after
surgery. Three other patients were managed by hemodialysis the day after surgery. There was
no hospital mortality. Many aspects of management of these patients which differ from those of
routine cardiac surgical patients are outlined and discussed.
Key word : Chronic Renal Failure, Hemodialysis, Anesthetic Management, Coronary Artery
Bypass Graft
tenance hemodialysis undergoing coronary artery bypass graft surgery (CABGS). A balanced
general anesthesia with endotracheal intubation was successfully achieved by using midazolam,
atracurium, fentanyl, pentothal, nitrous oxide in oxygen and isoflurane. All patients were hemo-
dialyzed within 24 hours before operation. One patient started peritoneal dialysis 10 hours after
surgery. Three other patients were managed by hemodialysis the day after surgery. There was
no hospital mortality. Many aspects of management of these patients which differ from those of
routine cardiac surgical patients are outlined and discussed.
Key word : Chronic Renal Failure, Hemodialysis, Anesthetic Management, Coronary Artery
Bypass Graft
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