The use of high doses of the narcotic analgesic fentanyl has been very popular for many years in cardiac surgery, since it was believed to provide full protection against operational stress, despite the associated long-term postoperative mechanical ventilation and a relatively high incidence of respiratory complications associated with its use. Today, the postoperative recovery of cardiac surgery patients has significantly accelerated due to the transition from the use of longacting muscle relaxants, anesthetics based on opioids and benzodiazepines in high doses to more balanced methods, based on the use of modern inhalation anesthetics, short-acting muscle relaxants, and maximum minimization of narcotic analgesics and the use of dexmedetomidine sedation protocols. The article demonstrates a clinical case of successful ultra-fast track anesthesia of a patient after on pump coronary bypass grafting without the use of fentanyl in the scheme of anesthetic management.
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About the authors
- Kakhaber E. Diasamidze, Dr. Med. Sc., Leading Researcher, ORCID
- Merab K. Sanakoev, Can. Med. Sc., Researcher, ORCID
- Igor’ Ya. Klimchuk, Can. Med. Sc., Junior Researcher, ORCID
- Kantemir A. Kudaev, Anesthesiologist-Resuscitator, ORCID
- Georgiy M. Mishin, Anesthesiologist-Resuscitator, ORCID
- Mikhail M. Rybka, Dr. Med. Sc. Professor, Head of the Department, ORCID