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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2023, Number 1

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Cir Card Mex 2023; 8 (1)

Postoperative management of the patient undergoing coronary artery bypass grafting

Flores-Figueroa F

Language: English
References: 18
Page: 17-21
PDF size: 168.50 Kb.


ABSTRACT

Postoperative care of the heart begins before surgery with a complete evaluation of the patient so that we can anticipate trans and postoperative complications. Comorbidities can be divided into two types, cardiological ones such as LVEF, pulmonary hypertension, concomitant heart valve diseases, presence of evolving coronary syndrome, etc., and non-cardiological ones such as COPD, diabetes, liver disease, neurological conditions and infections, among others. Some medications must be discontinued prior to surgery such as not applying insulin the night before, and others can be continued, such as antiplatelet agents, beta- blockers, and statins. Management in the Cardiological Intensive Care unit begins beforehand; we must be already prepared and know the type of patient and conditions; therefore, we must have the mechanical ventilator or supplemental oxygen support ready, as the case may be, the drugs and infusion pumps, invasive and non-invasive vital signs monitors as well as special devices such as intraaortic balloon pump, ECMO, etc. The following article shows a broad overview about the postoperative care of the patient undergoing coronary revascularization.


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