Anesthesic Management of Cardiac Surgery Through a Minimal Right Vertical Infra Axillary Thoraeotomy
Objective To discuss the anesthesic management of cardiac surgery through a minimal right vertical infra axillary thoracotomy.Methods 214 patients,Anesthesia was maintained with intravenous vecuronium continuously by pump,intermitted intravenous fentanyl and supplemented with isoflurane inhalation.Results There was no postoperative deaths.Three cases need secondary thoracotomy and hemostasis,Eight the lung not open enough,mediam sternotomy at the same period The ventilation,the volume of drainage,the amount of blood transfusion and hospital day were significantly less(P0.01).Conclusion Add protecting of lung and assure the data of hemodynamics satisfied and postoperative analgesia are the key factors to improve cardiac surgery outcome.