Off-pump coronary bypass grafting in a post-pneumonectomy patient: Challenges and management
| Autor: | Ankit Purohit, Vishal Jain, Anand Kumar, Udgeath Dhir, Surendra Yadav |
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| Rok vydání: | 2019 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment Coronary Artery Bypass Off-Pump Case Report Chest physiotherapy 030204 cardiovascular system & hematology Coronary artery disease Pulmonary function testing lcsh:RD78.3-87.3 03 medical and health sciences Pneumonectomy 0302 clinical medicine 030202 anesthesiology medicine Humans Lung Aged Off-pump coronary artery bypass business.industry General Medicine Perioperative medicine.disease Surgery Cardiac surgery Catheter thoracic epidural Anesthesiology and Pain Medicine lcsh:Anesthesiology lcsh:RC666-701 off-pump coronary artery bypass Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia, Vol 22, Iss 1, Pp 86-88 (2019) |
| ISSN: | 0971-9784 |
| DOI: | 10.4103/aca.aca_37_18 |
| Popis: | Pulmonary complications are common in cardiac surgical patients. Limited respiratory reserves along with the pain associated with sternotomy add to the morbidity. Patients undergoing cardiac surgery who have had a pneumonectomy done before can be even more challenging to manage perioperatively due to a single-functioning lung. We present a case of a postpneumonectomy patient who underwent off-pump coronary artery bypass grafting. Perioperative optimization of lung function tests was stressed upon including the chest physiotherapy and early mobilization. Preoperative thoracic epidural catheter was inserted for postoperative pain and other proven benefits of thoracic epidural in coronary artery disease patients. We could conclude from our experience that proper optimization of lung function tests and meticulous pain management along with fast-tracking are keys to the management of such patients. |
| Databáze: | OpenAIRE |
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