Evaluation of early results for the maintenance of the pleura is closed during the preparation of the internal mammary artery in patients Undergoing CABG

The main objective of the study is to study the early results of the maintenance of the pleura during the preparation of the internal breast artery in the maintenance of respiratory function and its role in the prevention of respiratory and hemorrhagic complications following its opening and comparison with the global studies conducted in this area. The study included patients with Cabg of both sexes aged between 40 years and 72 years of age who were the EF% from 40% in Tishreen University Hospital in Lattakia as a prospective study during 2017. The study included 30 patients divided into two groups: Fifteen patients had closed their pleura, and the second group (15) patients had pleural ulcers. Patients were followed within one week after surgery. We conclude from our study that hemorrhagic complications and need for blood transfusions and respiratory complications were significantly less when maintaining the pleura closed in the first group.

Anesthesia with Sevoflurane protect the myocardium in Coronary Artery Bypass Graft

Protection against cardiac ischemia/reperfusion injury is the basic objective in open heart surgery, and it may be achieved by pharmacological preconditioning or Postconditioning. In this study, we aimed to compare the effects of two different anesthetic techniques (inhalation and total intravenous anesthesia) on ischemia-reperfusion injury in Coronary Artery Bypass Graft surgery. 80 CABG patients were randomly assigned into one of tow groups: Group A Sevoflurane (n=40) and Group B total intravenous anesthesia (n=40) with Propofol . data of hemodynamic monitoring and inotrops using were recorded. Arterial blood samples were taken in the preoperative period (T0), 12th hours (T1) ,24th hours (T2) and 48th hours postoperatively, and Troponine I levels were measured . The time of ventilation, ICU and total hospitalization were recorded . Postoperative levels of troponine I were significantly lower in the Sevoflurane group with less using of inotrops and less staying in the ICU post-op . We conclude that the use of a volatile anesthetic regimen in CABG surgery associate with better preservation of myocardial function and a reduced postoperative release of troponine I.