In the Literature: New Research from Our Faculty (Dr. Ronit Lavi and Dr.Davy Cheng)
Tuesday, September 3, 2013
J Cardiothorac Vasc Anesth. 2012 Dec;26(6):1131-5.
Pro: continuous cardiac output and SvO₂ monitoring should be routine during off-pump coronary artery bypass graft surgery.
Excerpt
OFF-PUMP CORONARY ARTERY bypass surgery (OPCAB) has gained popularity in recent years as a technique of surgical myocardial revascularization. In the United States, about 20% to 25% of coronary artery bypass graft (CABG) surgeries are performed off-pump.1 The clinical advantages of OPCAB are the avoidance of the cross-clamping of the aorta and the reduced systemic inflammatory effects of cardiopulmonary bypass (CPB), which have been shown to reduce postoperative morbidity in low-risk and high-risk patients as well as in comparison with patients who underwent percutaneous coronary intervention. Nevertheless, abrupt manipulations of the heart during OPCAB surgery presents unique challenges to the cardiac anesthesiologist....
Key words
cardiac output monitoring; off-pump coronary artery bypass surgery; SvO2 monitoring.
