New horizons for critical care in cardiac surgery
نویسندگان
چکیده
Post cardiac surgery patients require intensive monitoring, judicious use of cardiovascular drugs, effective pain control, early mobilization, and intense respiratory care. In the last decade, off-pump coronary artery bypass surgery (OPCAB) that avoids the use of cardiopulmonary bypass (CPB) and aortic cannulation has evolved. With the advent of new instruments, multi vessel bypass is now performed on the beating heart. As compared with conventional coronary artery by pass graft surgery (CABG), OPCAB is associated with less inflammatory response, coagulation disorders, multiorgan dysfunction, postoperative atrial fibrillation, stroke,1-3 shorter hospital stay, early hospital discharge and better operative mortality and outcome.
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