Non Steroidal Anti-Inflammatory Drug-Based Pain Control for Minimally Invasive Direct Coronary Artery Bypass Surgery

(#1999-81212 ... May 31, 1999)

Jeffrey C. Lin, MD, Michael F. Szwerc, MD, James A. Magovern, MD

Department of Cardiothoracic Surgery, Allegheny University Hospitals, Allegheny General, Pittsburgh, PA

ABSTRACT

Minimally invasive direct coronary artery bypass (MIDCAB) surgery has become an attractive alternative technique to treat coronary artery insufficiency. Changes in surgical and anesthesia techniques have led to reduced pulmonary morbidity associated with the operation. Early extubation is typically expected. However, postoperative pain management becomes even more important with early extubation. We describe our technique of a NSAID-based protocol with indomethicin and Torodal that has been safe and effective in over 175 patients following MIDCAB.

AUTHOR/ARTICLE INFORMATION

Reprint requests to: Jeffrey C. Lin, MD, Department of Cardiothoracic Surgery, Allegheny University Hospitals, Allegheny General, 320 East North Ave., Pittsburgh, PA 15212

Submitted on: May 28, 1999; Accepted on: May 31, 1999