Anesthesia for off-pump coronary artery bypass surgery.

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dc.contributor.authorHemmerling, Thomas M
dc.contributor.authorRomano, Gianmarco
dc.contributor.authorTerrasini, Nora
dc.contributor.authorNoiseux, Nicolas
dc.date.accessioned2013-03-04T06:24:48Z
dc.date.available2013-03-04T06:24:48Z
dc.date.issued2013-01
dc.description.abstractThe evolution of techniques and knowledge of beating heart surgery has led anesthesia toward the development of new procedures and innovations to promote patient safety and ensure high standards of care. Off-pump coronary artery bypass (OPCAB) surgery has shown to have some advantages compared to on-pump cardiac surgery, particularly the reduction of postoperative complications including systemic inflammation, myocardial injury, and cerebral injury. Minimally invasive surgery for single vessel OPCAB through a limited thoracotomy incision can offer the advantage of further reduction of complications. The anesthesiologist has to deal with different issues, including hemodynamic instability and myocardial ischemia during aorto-coronary bypass grafting. The anesthesiologist and surgeon should collaborate and plan the best perioperative strategy to provide optimal care and ensure a rapid and complete recovery. The use of high thoracic epidural analgesia and fast-track anesthesia offers particular benefits in beating heart surgery. The excellent analgesia, the ability to reduce myocardial oxygen consumption, and the good hemodynamic stability make high thoracic epidural analgesia an interesting technique. New scenarios are entering in cardiac anesthesia: ultra-fast-track anesthesia with extubation in the operating room and awake surgery tend to be less invasive, but can only be performed on selected patients.en_US
dc.identifier.citationHemmerling Thomas M, Romano Gianmarco, Terrasini Nora, Noiseux Nicolas. Anesthesia for off-pump coronary artery bypass surgery. Annals of Cardiac Anaesthesia. 2013 Jan; 16(1): 28-39.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/145389
dc.language.isoenen_US
dc.source.urihttps://www.annals.in/article.asp?issn=0971-9784;year=2013;volume=16;issue=1;spage=28;epage=39;aulast=Hemmerlingen_US
dc.subjectCoronary artery bypassen_US
dc.subjectFast-track cardiac surgeryen_US
dc.subjectHigh thoracic epidural anesthesiaen_US
dc.subjectIntraoperative monitoringen_US
dc.subjectIntraoperative monitoringen_US
dc.subjectOff-pump coronary artery bypassen_US
dc.subject.meshAged
dc.subject.meshAnesthesia, Epidural --methods
dc.subject.meshCardiac Surgical Procedures --methods
dc.subject.meshCoronary Artery Bypass, Off-Pump --methods
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMonitoring, Intraoperative --methods
dc.titleAnesthesia for off-pump coronary artery bypass surgery.en_US
dc.typeArticleen_US
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