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Off-Pump and Minimally Invasive CABG

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : PEC II
Considerations : Arterial line, Central line, High Blood Loss, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, One-Lung Ventilation / Lung Isolation, TEE

Anesthetic Approaches

1GETT, Remifentanil Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3GETT, Nerve Block
The Surgery

Preop mapping - The team reviews the coronary anatomy and the planned grafting sequence. Proximal occlusion of a vessel with high-grade distal disease is tolerated far worse than a proximal lesion...

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