bandage-green

Coronary Artery Bypass Grafting (CABG)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass

Anesthetic Approaches

1GETT, 1/2 MAC Gas, Propofol Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Sternotomy and conduit harvest — median sternotomy; LIMA takedown and endoscopic saphenous vein (± radial artery) harvest proceed concurrently. Heparinization and cannulation — heparin given, then...

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