Predictors of inotropic support during weaning from cardiopulmonary bypass in coronary artery bypass grafting surgery

H. Hayashi, R. Prabhu, David C. Kramer, Y. Oka

Research output: Contribution to journalArticle

Abstract

Early or prophylactic inotropic drug administration is occasionally required to facilitate separation from cardiopulmonary bypass (CPB) in cardiac surgery. However, it is not without untoward effects and should be conducted on the basis of rational criteria. The purpose of our study was to clarify variables associated with the requirement for inotropic support during separation from CPB and to testify whether pre-CPB left ventricular (LV) function, as evaluated by transesophageal echocardiography (TEE), is one of the significant variables. Clinical profile data and TEE findings were retrospectively analyzed for 91 patients who had received elective primary isolated coronary artery bypass grafting (CABG) surgery. Post-CPB inotropic drug administration initiated prior to aortic decannulation was considered inotropic support for terminating CPB. Stepwise multiple logistic regression analysis identified pre-CPB LV regional wall motion abnormalities (RWMA), NYHA class, age, and duration of CPB (in order of significance) as factors associated with inotropic support for discontinuing CPB. Pre-CPB LV end-diastolic area or fractional area change was not a significant variable in the multivariate model. Our result suggests that evaluation of pre-CPB LV RWMA is useful in predicting the need of inotropic intervention during separation from CPB in patients undergoing CABG surgery.

Original languageEnglish (US)
Pages (from-to)3-9
Number of pages7
JournalJournal of Anesthesia
Volume11
Issue number1
DOIs
StatePublished - Apr 15 1997
Externally publishedYes

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Cardiopulmonary Bypass
Coronary Artery Bypass
Transesophageal Echocardiography
Left Ventricular Function
Pharmaceutical Preparations
Thoracic Surgery
Logistic Models
Regression Analysis

Keywords

  • Cardiopulmonary bypass
  • Coronary artery bypass grafting surgery
  • Inotropic support
  • Logistic regression
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Predictors of inotropic support during weaning from cardiopulmonary bypass in coronary artery bypass grafting surgery. / Hayashi, H.; Prabhu, R.; Kramer, David C.; Oka, Y.

In: Journal of Anesthesia, Vol. 11, No. 1, 15.04.1997, p. 3-9.

Research output: Contribution to journalArticle

Hayashi, H. ; Prabhu, R. ; Kramer, David C. ; Oka, Y. / Predictors of inotropic support during weaning from cardiopulmonary bypass in coronary artery bypass grafting surgery. In: Journal of Anesthesia. 1997 ; Vol. 11, No. 1. pp. 3-9.
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