非体外循环冠状动脉旁路移植术的麻醉

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-03-06 DOI:10.1016/j.mpaic.2024.01.004

Thomas Kilpatrick, Leon Dryden

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引用次数: 0

摘要

非体外循环冠状动脉旁路移植术（OPCABG）可通过外科手术重建心脏血管，同时避免心肺旁路术（CPB）的固有风险。技术和工艺的进步改善了手术条件，使 OPCABG 手术越来越受欢迎。然而，手术操作跳动的心脏和夹闭灌注的冠状动脉可能会导致严重的血流动力学后果，对此必须有所预料并谨慎处理。因此，麻醉师必须吸收多种来源的信息，并对术中的任何变化保持警惕。

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Anaesthesia for off-pump coronary artery bypass grafting

Off-pump coronary artery bypass grafting (OPCABG) surgery allows surgical revascularization of the heart whilst avoiding the inherent risks of cardiopulmonary bypass (CPB). Advances in technologies and techniques have improved operating conditions and have led to an increase in popularity of OPCABG. However, surgical manipulation of a beating heart and clamping of perfusing coronary arteries can cause significant haemodynamic consequences which must be anticipated and carefully managed. The anaesthetist must therefore assimilate information from multiple sources and remain vigilant to any changes intraoperatively.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.