by Jack Shanewise, MD
Emory University School of Medicine,
The anesthesiologist's role is vastly different in OPCAB surgery compared to conventional bypass. In conventional bypass surgery when the patient is placed on pump, the Anesthesiologist becomes an observer and a consultant to the perfusionist. With OPCAB surgery the Anesthesiologist becomes the second most important practitioner in the room. Your expert guidance, diligence and abilities offer your patient hemodynamic stability and ensure the success of the case–especially during the distal anastomosis.
Initially, a base line exam is done to assess five major functions of the heart.38
The model presented here will specify a naming process, and will allow anesthesiologists to be able to more uniformly convey anatomy on a segmental nomenclature.
Three levels are defined first.
Views During Graft Construction
Mid-esophageal views - Four chamber, two chamber, and long axis.