• Coronary Artery Bypass Grafting (CABG)
    Cardiology,  Internal Medicine

    Coronary Artery Bypass Grafting

    The goal of CABG is to restore blood flow to the myocardium. Preoperative Care During preoperative assessment of patients undergoing coronary artery bypass grafting, special care should be paid to the severity of their coronary artery disease, their vascular function, the presence of comorbid disease, and explaining to the patient the procedure and postoperative care expectations. Medications Cardiac medications are to be continued up to the morning of the operation, except ACE inhibitors and digoxin. Monitoring Routine monitoring of CABG patients often includes: 5 lead ECG Temperature – core temperature (nasopharyngeal) Pulse oxymetry Capnography Central venous pressure Invasive BP monitoring Anesthesia for CABG An example protocol for induction: Etomidate, Fentanyl,…