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Early Postoperative Care After CABG

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Coronary Graft Failure

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Abstract

The early postoperative period after coronary artery bypass grafting (CABG) is the period of return and normalization of homeostasis constants and mechanisms altered intraoperatively. Pathophysiologic changes induced by the pump and cardioplegia (on-pump CABG) and mainly featured by systemic inflammatory response and transient myocardial depression are slightly different in off-pump CABG (OPCAB). Nevertheless, in both situations there are standardized protocols in use to return the constants in physiologic limits. The fast track protocols including early extubation and short time stay in the intensive care unit (ICU) became part of perioperative anesthesia management in many cardiac centers, reducing mortality, morbidity, and costs. In this chapter are presented the main homeostatic postoperative modifications, and diagnostic and therapeutic measures of the main complications in the first 24 h after surgery.

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Authors and Affiliations

  1. Department of Cardiovascular Anesthesia and Critical Care Unit, “Prof.Dr.Agrippa Ionescu” Emergency Hospital, Center for Cardiovascular Diseases, Bucharest, Romania

    Ovidiu Șt. Lazăr MD

  2. Department of Cardiovascular Anesthesia and Critical Care Unit, “Prof.Dr.Agrippa Ionescu” Emergency Hospital, Bucharest, Romania

    Adina Nedelcu MD

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  1. Ovidiu Șt. Lazăr MD
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  2. Adina Nedelcu MD
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Correspondence to Ovidiu Șt. Lazăr MD .

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Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

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Șt. Lazăr, O., Nedelcu, A. (2016). Early Postoperative Care After CABG. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_9

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