{"title":"Anaesthesia for off-pump coronary artery bypass grafting","authors":"Thomas Kilpatrick, Leon Dryden","doi":"10.1016/j.mpaic.2024.01.004","DOIUrl":null,"url":null,"abstract":"<div><p>Off-pump coronary artery bypass grafting (OPCABG) surgery allows surgical revascularization of the heart whilst avoiding the inherent risks of cardiopulmonary bypass (CPB). Advances in technologies and techniques have improved operating conditions and have led to an increase in popularity of OPCABG. However, surgical manipulation of a beating heart and clamping of perfusing coronary arteries can cause significant haemodynamic consequences which must be anticipated and carefully managed. The anaesthetist must therefore assimilate information from multiple sources and remain vigilant to any changes intraoperatively.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 4","pages":"Pages 244-248"},"PeriodicalIF":0.2000,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924000043","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Off-pump coronary artery bypass grafting (OPCABG) surgery allows surgical revascularization of the heart whilst avoiding the inherent risks of cardiopulmonary bypass (CPB). Advances in technologies and techniques have improved operating conditions and have led to an increase in popularity of OPCABG. However, surgical manipulation of a beating heart and clamping of perfusing coronary arteries can cause significant haemodynamic consequences which must be anticipated and carefully managed. The anaesthetist must therefore assimilate information from multiple sources and remain vigilant to any changes intraoperatively.
期刊介绍：
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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