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Anesthetic considerations for the patients with off-pump coronary artery bypass grafting

Anesthetic considerations for the patients with off-pump coronary artery bypass grafting

作     者:Xinchun Chen Chengzhang Fu Chris Cokis 

作者机构:Department of Anesthesia the Affiliated Hospital of Nanjing Medical University Nanjing 210029 Department of Anesthesia and pain medicine Royal Perth Hospital Western Australia Perth 6004 Australia 

出 版 物:《Journal of Nanjing Medical University》 (南京医科大学学报(英文版))

年 卷 期:2005年第19卷第5期

页      面:270-276页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100217[医学-麻醉学] 10[医学] 

主  题:coronary artery bypass graft cardiopulmonary bypass myocardial ischemia bispectral index transesophageal echocardiography 

摘      要:New surgical techniques for coronary artery bypass graft (CABG) have been explored in order to minimize disfiguring scars, avoid cardiopulmonary bypass and decrease hospital residence and costs etc. Improved surgical expense can perform the procedures in some high-risk patients such as poor left ventricular function, redo CABG, advanced age and renal dysfunction etc. Intraoperatively there is an obligatory period of myocardial ischemia, which may lead to significant hemodynamic consequences. It is a quite challenge to anesthetist in managing the intraoperative patient.

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