Rojas JRA, Uriarte MF, Munguía FY, Vergara LM

Language: Spanish
References: 38
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ABSTRACT

The early extubación allows to diminish the cardiorespiratory morbility and motality, as well as to shorten its stay in the intensive care unit (UCI) and the hospital unit. This technique is based on the narcotic combination and benzodiazepine, inhalant agents to variable concentrations with good hemodynamic respons, allowing the extubation among 4 to 8 hours later to its arrival to the UCI. 40 patients of both sexes were studied programmed for coronary revascularitation, divided in two groups. The group I, received midazolam, fentanyl, sevofluorane. The group II, received diazepam fentanyl, isoflurane. The criteris of inclusion was patient with more of 50% ventricular left fraction of expulsion FEVI, time of extracopore perfution (CEC) among 50 to 80 minutes, hemodynamic stability, elective surgery, without inotropicos support, surgical time smaller than 6 hrs, sinusal rhythm, expense normal urinal. Significant variations were not presented in the age groups, sex, carves, weight, the hemodynamic constants, heart frequency, blood pressure, central venous pressure showed small differences without being representative. The patients were progressed gathering necessary conditions for extubación inside the first 6 hrs to their arrival to the UCI., the anesthetic technique at the moment is safe and it diminishes postoperative complications, as well as intrahospitalary costs.

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