Table of Contents

Introduction

2. Hazards of Cardiopulmonary Bypass

2. Early Outcomes of Beating Heart CABG
2. Getting Started

Preoperative Planning

4 Plan to Prevent or Treat Hemodynamic Instability
4. Ischemic Preconditioning

4. Shunting
4. Pacing Wires

 

Intraoperative Techniques

4. New "First Assistant" Role for the Anesthesiologist
5. Anesthesia Management

5. Induction and Maintainance of Cardioprotective Anesthesia by Arno P. Nierich, M.D.
5. General Induction

5. Heparinization
5. Normothermia

5. Monitoring Hemodynamic Stability
5. Maintaining Hemodynamic Stability

6. Cardiac Manipulation
6. Vessel Exposure Using Deep Pericardial Retraction Sutures

7. Vertical Displacement for Exposure of Obtuse Marginals and PDA by James C. Hart, M.D.
8. OM-PDA Exposure Techniques by Ted Spooner, M.D.

9. Stabilization
9. Suction

9. Compression
10.Coronary Occlusion

10.Visualization/Bloodless Field
11.Shunting

12. Postoperative Techniques
12. Conclusion

We would like to acknowledge and thank the following physicians for their contributions and graphics: Carl E. Arentzen, M.D., Kit V, Arom, M.D., James C. Hart, M.D., F.W. Mohr, M.D., Michael D. Moran, M.D., Arno P. Nierich, M.D., David Perkowski, M.D., John Pym, M.D., Ted Spooner, M.D., Cornelius Borst, M.D., Ph.D. and Paul F Gründeman, M.D., Ph.D.