{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:49:04Z","timestamp":1791895744970,"version":"4.3.4"},"reference-count":30,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jcardioanesthesia.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1053\/j.jvca.2026.05.063","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:43:05Z","timestamp":1780501385000},"page":"3581-3588","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physiology-Guided Anesthetic Management for Off-Pump Coronary Artery Bypass Without Advanced Monitoring: A Single-Center Observational Cohort Study"],"prefix":"10.1053","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5046-3797","authenticated-orcid":false,"given":"Lalla Hasnaa","family":"Leghlimi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadoua","family":"Lacchab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Tribak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesma","family":"Bendagha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida","family":"Soufiani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanae Es","family":"Sebani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil","family":"Bensouda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Said","family":"Moughil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jvca.2026.05.063_bib0001","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1056\/NEJMoa1211585","article-title":"Strategies for multivessel revascularization in patients with diabetes","volume":"367","author":"Farkouh","year":"2012","journal-title":"N Engl J Med"},{"key":"10.1053\/j.jvca.2026.05.063_bib0002","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1093\/eurheartj\/ehae177","article-title":"2024 ESC Guidelines for the management of chronic coronary syndromes","volume":"45","author":"Vrints","year":"2024","journal-title":"Eur Heart J"},{"key":"10.1053\/j.jvca.2026.05.063_bib0003","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1056\/NEJMoa1200388","article-title":"Off-pump or on-pump coronary-artery bypass grafting at 1 year","volume":"366","author":"Lamy","year":"2012","journal-title":"N Engl J Med"},{"key":"10.1053\/j.jvca.2026.05.063_bib0004","article-title":"Off-pump versus on-pump coronary artery bypass grafting for ischaemic heart disease","volume":"201","author":"M\u00f8ller","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1053\/j.jvca.2026.05.063_bib0005","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1093\/bja\/aeh064","article-title":"Off-pump coronary artery bypass surgery: Physiology and anaesthetic management","volume":"92","author":"Chassot","year":"2004","journal-title":"Br J Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0006","doi-asserted-by":"crossref","first-page":"267","DOI":"10.4097\/kja.23103","article-title":"Hemodynamic management during off-pump coronary artery bypass surgery: A narrative review","volume":"76","author":"Shim","year":"2023","journal-title":"Kor J Anesthesiol"},{"key":"10.1053\/j.jvca.2026.05.063_bib0007","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.ancard.2005.09.006","article-title":"Off-pump coronary artery bypass: Analysis of 1080 patients","volume":"54","author":"Monassier","year":"2005","journal-title":"Ann Cardiol Angeiol (Paris)"},{"key":"10.1053\/j.jvca.2026.05.063_bib0008","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/S1010-7940(01)01099-5","article-title":"Cardiopulmonary bypass-induced inflammation: Pathophysiology and treatment update","volume":"21","author":"Paparella","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0009","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1161\/CIRCULATIONAHA.108.786913","article-title":"Acute kidney injury after cardiac surgery: Focus on modifiable risk factors","volume":"119","author":"Karkouti","year":"2009","journal-title":"Circulation"},{"key":"10.1053\/j.jvca.2026.05.063_bib0010","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.1067750","article-title":"Anesthesia management of patients undergoing off-pump coronary artery bypass grafting: A retrospective single-center study","volume":"9","author":"Lin","year":"2023","journal-title":"Front Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0011","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jacc.2016.11.071","article-title":"Coronary artery bypass grafting with and without manipulation of the ascending aorta: A network meta-analysis","volume":"69","author":"Zhao","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"10.1053\/j.jvca.2026.05.063_bib0012","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/BF03013167","article-title":"Residual neuromuscular blockade after cardiac surgery: Pancuronium vs rocuronium","volume":"44","author":"McEwin","year":"1997","journal-title":"Can J Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0013","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4103\/0971-9784.41575","article-title":"Neuromuscular blockade in cardiac surgery: An update for clinicians","volume":"11","author":"Hemmerling","year":"2008","journal-title":"Ann Card Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0014","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00000542-200207000-00007","article-title":"Sevoflurane but not propofol preserves myocardial function in coronary surgery patients","volume":"97","author":"De Hert","year":"2002","journal-title":"Anesthesiology"},{"key":"10.1053\/j.jvca.2026.05.063_bib0015","doi-asserted-by":"crossref","first-page":"30","DOI":"10.4103\/0971-9784.105367","article-title":"Anesthesia for off-pump coronary artery bypass surgery","volume":"16","author":"Hemmerling","year":"2013","journal-title":"Ann Card Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0016","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1097\/00000539-200110000-00011","article-title":"A comparison of fentanyl, sufentanil, and remifentanil for fast-track cardiac anesthesia","volume":"93","author":"Engoren","year":"2001","journal-title":"Anesth Analg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0017","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1046\/j.1365-2710.2002.00401.x","article-title":"Cost analysis of fentanyl and remifentanil in coronary artery bypass graft surgery without cardiopulmonary bypass","volume":"27","author":"Reddy","year":"2002","journal-title":"J Clin Pharm Ther"},{"key":"10.1053\/j.jvca.2026.05.063_bib0018","doi-asserted-by":"crossref","first-page":"321","DOI":"10.4103\/aca.aca_153_22","article-title":"High thoracic epidural anesthesia and dexmedetomidine for awake off-pump coronary artery bypass grafting: A feasible option for patients with severe pulmonary disease","volume":"26","author":"Barnwal","year":"2023","journal-title":"Ann Card Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0019","first-page":"788","article-title":"Awake coronary artery bypass grafting under thoracic epidural anesthesia: Great impact on off-pump coronary revascularization and fast-track recovery","volume":"40","author":"Watanabe","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0020","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/aca.ACA_135_17","article-title":"Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery","volume":"21","author":"Nagre","year":"2018","journal-title":"Ann Card Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0021","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1111\/j.1399-6576.2011.02472.x","article-title":"Cardiac displacement-induced hemodynamic instability during off-pump coronary artery bypass surgery and its predictors","volume":"55","author":"Oh","year":"2011","journal-title":"Acta Anaesthesiol Scand"},{"issue":"6","key":"10.1053\/j.jvca.2026.05.063_bib0022","first-page":"ivad205","article-title":"Conversion from off-pump to on-pump coronary artery bypass grafting: Impact of surgeon and anesthetist experience","volume":"37","author":"Ntinopoulos","year":"2023","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0023","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.jtcvs.2004.04.043","article-title":"Emergency conversion to cardiopulmonary bypass during attempted off-pump revascularization results in increased morbidity and mortality","volume":"128","author":"Patel","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0024","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.athoracsur.2008.08.032","article-title":"Intracoronary shunt prevents ischemia in off-pump coronary artery bypass surgery","volume":"87","author":"Bergsland","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0025","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4103\/0971-9784.197842","article-title":"Goal-directed therapy improves the outcome of high-risk cardiac patients undergoing off-pump coronary artery bypass","volume":"20","author":"Kapoor","year":"2017","journal-title":"Ann Card Anaesth"},{"key":"10.1053\/j.jvca.2026.05.063_bib0026","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1016\/j.athoracsur.2004.05.084","article-title":"Outcomes after usage of a quality initiative program for off-pump coronary artery bypass surgery: A comparison with on-pump surgery","volume":"78","author":"Gobran","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0027","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s42077-019-0030-1","article-title":"Comparing perioperative magnesium sulphate, lidocaine, and their combination in preventing ventricular arrhythmia in off-pump coronary artery bypass grafting","volume":"11","author":"Sarhan","year":"2019","journal-title":"Ain-Shams J Anesthesiol"},{"key":"10.1053\/j.jvca.2026.05.063_bib0028","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1093\/ejcts\/ezx039","article-title":"Postoperative atrial fibrillation following cardiac surgery: a persistent complication","volume":"52","author":"Greenberg","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2026.05.063_bib0029","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1056\/NEJMoa0902905","article-title":"On-pump versus off-pump coronary-artery bypass surgery","volume":"361","author":"Shroyer","year":"2009","journal-title":"N Engl J Med"},{"key":"10.1053\/j.jvca.2026.05.063_bib0030","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1093\/ejcts\/ezs043","article-title":"EuroSCORE II","volume":"41","author":"Nashef","year":"2012","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077026004647?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077026004647?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:04:47Z","timestamp":1791893087000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1053077026004647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S1053077026004647"],"URL":"https:\/\/doi.org\/10.1053\/j.jvca.2026.05.063","relation":{},"ISSN":["1053-0770"],"issn-type":[{"value":"1053-0770","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Physiology-Guided Anesthetic Management for Off-Pump Coronary Artery Bypass Without Advanced Monitoring: A Single-Center Observational Cohort Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiothoracic and Vascular Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jvca.2026.05.063","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}