Skip Navigation

Continuing Education in Anaesthesia, Critical Care & Pain 2006 6(2):60-62; doi:10.1093/bjaceaccp/mkl005
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Hett, D. A
Right arrow Search for Related Content
PubMed
Right arrow Articles by Hett, D. A
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


Continuing Education in Anaesthesia, Critical Care & Pain | Volume 6 Number 2 2006 © The Board of Management and Trustees of the British Journal of Anaesthesia [2006]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Anaesthesia for off-pump coronary artery surgery

David A Hett, FRCA
Consultant Cardiac Anaesthetist, Anaesthetic Department, Southampton General Hospital Tremona Road, Southampton SO16 6YD, UK Tel: 02380 777222 Fax: 1489 557158 E-mail: hetts@msn.com (for correspondence)
The first 150 words of the full text of this article appear below.


Key points

Recent surgical advances have made it possible for multiple grafts in all coronary territories.

The major anaesthetic challenge is the maintenance of haemodynamic stability during enucleation of the heart.

Proven benefits of off-pump coronary artery bypass (OPCAB) include a reduction in requirement for blood and blood products.

OPCAB may be of more benefit to high risk rather than low risk patient.

Good communication between surgeon and anaesthetist is vital for a successful outcome.

 

Off-pump coronary artery surgery was first developed in the 1960s. The subsequent introduction of cardiopulmonary bypass (CPB) with bubble oxygenators and cardioplegia resulted in CPB becoming the preferred technique for coronary artery bypass grafting. Renewed interest in off-pump surgery occurred in the 1980s, especially in centres with limited resources. More recently, the rationale for avoiding CPB in favour of off-pump coronary artery bypass (OPCAB), has been the avoidance of the complications of CPB including systemic . . . [Full Text of this Article]


   Operative technique
 

   Anaesthetic technique
 
Management of haemodynamic changes

Monitoring during OPCAB


   Outcome of OPCAB
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?