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Anesthetic Management in Robotic Hybrid Coronary Artery Bypass Surgery

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Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

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Abstract

Robotic hybrid coronary artery bypass surgery (CABG) is an emerging intervention which maximizes the surgical benefit of left internal thoracic artery anastomosis to left anterior descending (LAD) artery while permitting concomitant percutaneous coronary intervention to non-LAD lesions during a single anesthesthetic. Unique anesthetic considerations include intraoperative management of hemodynamic changes predicted in robotic-assisted CABG caused by one lung ventilation (OLV) and intrathoracic CO2 insufflation, anticoagulation and antiplatelet therapy for percutaneous coronary intervention (PCI), and immediate extubation for eligible patients with adequate pain control.

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Authors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Keita Sato & Daniel Bainbridge

  2. London Health Sciences Centre, University Hospital, London, ON, Canada

    Daniel Bainbridge

Authors
  1. Keita Sato
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  2. Daniel Bainbridge
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Corresponding author

Correspondence to Daniel Bainbridge .

Editor information

Editors and Affiliations

  1. Distinguished University Professor Department of Anesthesia and Perioperative Medicine and Department of MedicineDivision of Critical Care Medicine, London Health Sciences Center and St Joseph’s Healthcare London Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Davy C.H. Cheng

  2. Associate Professor Department of Anesthesia and Perioperative Medicine and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Janet Martin

  3. Professor of Surgery University of Toronto, Melanie Munk Chair of Cardiovascular Surgery University Health Network, Toronto, ON, Canada

    Tirone David

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Sato, K., Bainbridge, D. (2021). Anesthetic Management in Robotic Hybrid Coronary Artery Bypass Surgery. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-47887-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47886-5

  • Online ISBN: 978-3-030-47887-2

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