Abstract:
:Traditional coronary artery bypass surgery involves a median sternotomy and the use of a heart-lung machine to stabilize the heart during suturing. Minimally invasive coronary artery surgery employs small incisions directly over the target vessels and avoids the use of a heart-lung machine, which can cause postoperative complications. The target coronary vessels are stabilized in alternative ways, potentially hazardous manipulation of the ascending aorta is avoided, and the subclavian and axillary arteries provide alternative inflow sources. Other new techniques used in minimally invasive procedures include a coronary artery cannula to avoid intraoperative ischemia and wound irrigation catheters to administer postoperative bupivacaine hydrochloride. Perioperative nurses need to become familiar with these new techniques to be able to plan and implement effective patient care.
journal_name
AORN Jjournal_title
AORN journalauthors
Coulson AS,Bakhshay S,Quarnstrom JA,Mayer S,Holmes K,Villarreal Mdoi
10.1016/s0001-2092(06)62542-8subject
Has Abstractpub_date
1997-12-01 00:00:00pages
1012-37; quiz 1039-42issue
6eissn
0001-2092issn
1878-0369pii
S0001-2092(06)62542-8journal_volume
66pub_type
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