Show Summary Details
Page of

Cardiac surgery 

Cardiac surgery
Cardiac surgery
Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. 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: 04 June 2020

The most common cardiac surgical procedures in the UK are coronary artery bypass grafting (CABG), with over 25 000 operations performed each year and heart valve surgery with approximately 8000 heart-valve operations each year. Other surgical procedures that nurses may come across include surgery for AF, cardiomyopathy, and congenital heart defects. The principles of care for these operations are similar, so they will be discussed at the same time; where there are differences, these will be clarified. In the UK, CABG has been performed for more than 40 years. During this time, some techniques have changed and now minimally invasive surgery and ‘off-pump’ surgery is more common. Changes in techniques for valve repair or replacement have meant that those previously at high risk for open heart valve replacement now have other options open to them. While length of stay for routine surgery has decreased, 25% of patients having CABG are over 75 years and are likely to have more severe cardiac disease and other comorbidities, which can lead to increased length of stay, with potential problems. The aim of this chapter is to discuss the care of patients who require cardiac surgery, from placement on the waiting list to discharge. Although this involves the whole healthcare team, the focus of the chapter will be on the role of the nurse. In many centres roles that were traditionally performed by doctors may now be done by either specialist nurses or surgical care practitioners (who may or may not be nurses).

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.