Show Summary Details
Page of

Off-Pump Coronary Artery Bypass (OPCAB) Surgery 

Off-Pump Coronary Artery Bypass (OPCAB) Surgery
Chapter:
Off-Pump Coronary Artery Bypass (OPCAB) Surgery
Author(s):

Andrew Feider

DOI:
10.1093/med/9780190884512.003.0012
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2019

Off-pump coronary artery bypass grafting is a type of open-heart surgery whereby coronary grafts are performed without the use of cardiopulmonary bypass (CPB) and cardioplegia. Although not performed as frequently as on-pump coronary artery bypass grafting, it is still utilized in certain situations. Because CPB is not used, anesthetic management has many unique considerations, including temperature management and anticoagulation. Proper monitoring of cardiac output, mixed venous oxygen saturation, and wall motion abnormalities via transesophageal echocardiography are very important during intraoperative management, and there are many anesthetic and surgical techniques that are utilized to limit the degree of myocardial ischemia during surgical construction of the coronary anastomoses.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.