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Anesthesia for Coronary Artery Bypass Grafting with and Without Cardiopulmonary Bypass

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Anesthesiology

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Abstract

The most common cardiac surgical procedure performed in the United States is coronary artery bypass grafting (National Heart Lung and Blood Institute, https://www.nhlbi.nih.gov/health/health-topics/topics/hs/types, 2017). However, between 2008 and 2012 the number of bypass surgeries has decreased and the average patient presents with more comorbidities than in the past. Fortunately, the in-hospital mortality rate has decreased from 2.7 to 2.2% over the same period (Moazzami et al., J Cardiothorac Vasc Anesth 31:19, 2017). The anesthetic requirements for coronary bypass vary with surgical approach, need for cardiopulmonary bypass (CPB), and other patient-specific factors. Both on-pump (CABG) and off-pump coronary artery bypass (OPCAB) will be discussed in this chapter. A separate section in this text discusses minimally invasive techniques such as robotic CABG.

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Authors and Affiliations

  1. Department of Anesthesiology, Emory University School of Medicine, Emory University Hospital, Atlanta, GA, USA

    Michael A. Evans M.D.

  2. Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA

    Mark Caridi-Scheible M.D.

Authors
  1. Michael A. Evans M.D.
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  2. Mark Caridi-Scheible M.D.
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Correspondence to Mark Caridi-Scheible M.D. .

Editor information

Editors and Affiliations

  1. Hospital University Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Basavana G. Goudra

  2. Department of Anesthesiology, Emory University, Atlanta, Georgia, USA

    Michael Duggan

  3. Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    Vidya Chidambaran

  4. University Hospitals Birmingham, Birmingham, United Kingdom

    Hari Prasad Krovvidi Venkata

  5. Emory University Hospital, Atlanta, Georgia, USA

    Elizabeth Duggan

  6. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Mark Powell

  7. All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India

    Preet Mohinder Singh

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Evans, M.A., Caridi-Scheible, M. (2018). Anesthesia for Coronary Artery Bypass Grafting with and Without Cardiopulmonary Bypass. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_1

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  • DOI: https://doi.org/10.1007/978-3-319-74766-8_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74765-1

  • Online ISBN: 978-3-319-74766-8

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