Overview of the anaesthesiological management (modified from Ender et al. [7])
| Anaesthesiological management . | |
|---|---|
| Premedication | |
| One day before surgery | Dipotassium clorazepate |
| Day of surgery | Clonidine |
| Anaesthetic induction | Propofol (1–2 mg/kg) |
| Sufentanil (0.5–1 µg/kg) | |
| Rocuronium (0.6 mg/kg) | |
| Maintenance of anaesthesia (under CPB) | Remifentanil (0.2 µg/kg/min) |
| Sevoflurane (0.8–1.1% MAC) | |
| [Propofol (3 mg/kg/min)] | |
| Temperature control after weaning from CPB | Bairhugger© underbody blanket external convective warming system (goal core temperature >36°C) |
| Early analgetic control (intraoperative, before skin closure) | 1 g paracetamol systemically |
| Standardized postoperative analgetic therapy scheme | bolus of piritramide (0.1 mg/kg) if needed + paracetamol (1 g every 6 h) (goal APS 2–4) |
| immediately after extubation | 1 h of noninvasive ventilation |
| Anaesthesiological management . | |
|---|---|
| Premedication | |
| One day before surgery | Dipotassium clorazepate |
| Day of surgery | Clonidine |
| Anaesthetic induction | Propofol (1–2 mg/kg) |
| Sufentanil (0.5–1 µg/kg) | |
| Rocuronium (0.6 mg/kg) | |
| Maintenance of anaesthesia (under CPB) | Remifentanil (0.2 µg/kg/min) |
| Sevoflurane (0.8–1.1% MAC) | |
| [Propofol (3 mg/kg/min)] | |
| Temperature control after weaning from CPB | Bairhugger© underbody blanket external convective warming system (goal core temperature >36°C) |
| Early analgetic control (intraoperative, before skin closure) | 1 g paracetamol systemically |
| Standardized postoperative analgetic therapy scheme | bolus of piritramide (0.1 mg/kg) if needed + paracetamol (1 g every 6 h) (goal APS 2–4) |
| immediately after extubation | 1 h of noninvasive ventilation |
APS: analogue pain scale; CPB: cardiopulmonary bypass; MAC: minimal alveolar concentration.
Overview of the anaesthesiological management (modified from Ender et al. [7])
| Anaesthesiological management . | |
|---|---|
| Premedication | |
| One day before surgery | Dipotassium clorazepate |
| Day of surgery | Clonidine |
| Anaesthetic induction | Propofol (1–2 mg/kg) |
| Sufentanil (0.5–1 µg/kg) | |
| Rocuronium (0.6 mg/kg) | |
| Maintenance of anaesthesia (under CPB) | Remifentanil (0.2 µg/kg/min) |
| Sevoflurane (0.8–1.1% MAC) | |
| [Propofol (3 mg/kg/min)] | |
| Temperature control after weaning from CPB | Bairhugger© underbody blanket external convective warming system (goal core temperature >36°C) |
| Early analgetic control (intraoperative, before skin closure) | 1 g paracetamol systemically |
| Standardized postoperative analgetic therapy scheme | bolus of piritramide (0.1 mg/kg) if needed + paracetamol (1 g every 6 h) (goal APS 2–4) |
| immediately after extubation | 1 h of noninvasive ventilation |
| Anaesthesiological management . | |
|---|---|
| Premedication | |
| One day before surgery | Dipotassium clorazepate |
| Day of surgery | Clonidine |
| Anaesthetic induction | Propofol (1–2 mg/kg) |
| Sufentanil (0.5–1 µg/kg) | |
| Rocuronium (0.6 mg/kg) | |
| Maintenance of anaesthesia (under CPB) | Remifentanil (0.2 µg/kg/min) |
| Sevoflurane (0.8–1.1% MAC) | |
| [Propofol (3 mg/kg/min)] | |
| Temperature control after weaning from CPB | Bairhugger© underbody blanket external convective warming system (goal core temperature >36°C) |
| Early analgetic control (intraoperative, before skin closure) | 1 g paracetamol systemically |
| Standardized postoperative analgetic therapy scheme | bolus of piritramide (0.1 mg/kg) if needed + paracetamol (1 g every 6 h) (goal APS 2–4) |
| immediately after extubation | 1 h of noninvasive ventilation |
APS: analogue pain scale; CPB: cardiopulmonary bypass; MAC: minimal alveolar concentration.
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