Cardiac Surgery: CABG Flashcards
Length of procedure for Coronary Artery Bypass Graft surgery?
3-5 hours
Lines in situ for CABG ?
ECG, Arterial Line, CVP, urinary catheter, O2, Chest drains, redivac drains (if SVG/radial graft), temperature probes, SaO2
“on-pump” refers to the use of a
cardiopulmonary bypass machine
What is the usual post-op regime for lower risk or uncomplicated cardiac surgery?
Inpatient Care
Day of Op or Day 1 - extubated and sat up in bed
Day 1: SOOB, back to surgical ward
Day 2: Commence mobility, all lines down
Day 3: Mobility hourly increasing independence
Day 4: Stairs
Day 5: Home
What arteries are commonly used for grafts for CABG?
Internal Mammory Artery
Long Saphenous Artery
Arm Vessels (commonly brachiocephalic or radial)
Why would the long saphenous vein not be possible/limited as a graft for CABG?
If the patient has varicose veins
What is the disadvantages of a long saphenous vein as a graft for CABG?
Lasts approx. only 10-15 years and then requires re-do’s
True or false, the internal mammory artery as a graft for CABG has excellent long term patency?
True
Why is it important to know if the patient has a long saphenous vein graft for CABG in terms of physiotherapy?
Because the patient will have a leg incision which we must take into consideration during mobilisation
Why does the internal mammory artery avoid the need for 2 anastamoses when using it as a graft for CABG?
Because the Internal Mammary Artery arises from the root of the aorta
Bypass Grafts (CABG) is done when
The coronary arteries are stenosed or occluded and the risk of Myocardial Infarction is high
Why do you need a pleural drain when using the internal mammary artery as a graft for CABG?
Because of pleural bleeding as you need to do a pleurotomy to get the artery
