Comparison of Transcranial Doppler Ultrasonography and Transesophageal Echocardiography to Monitor Emboli During Coronary Artery Bypass Surgery

Stroke ◽  
1996 ◽  
Vol 27 (1) ◽  
pp. 87-90 ◽  
Author(s):  
D. Barbut ◽  
F.S. Yao ◽  
D.N. Hager ◽  
P. Kavanaugh ◽  
R.R. Trifiletti ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Transesophageal Echocardiography ◽  
Coronary Artery Bypass ◽  
Transcranial Doppler ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Doppler Ultrasonography ◽  
Artery Bypass ◽  
Transcranial Doppler Ultrasonography

Robotic CABG

2019 ◽  
pp. 49-56
Author(s):  
Richa Dhawan
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Transesophageal Echocardiography ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Anesthetic Technique ◽  
Lung Isolation ◽  
Coronary Sinus Catheter

Technological advances and increased experience in robotic coronary artery bypass surgery in the last 15 years have expanded and changed the field. Totally endoscopic coronary artery bypass surgery has become more prevalent and innovative. These cardiac cases require proficiency in skills such as management of one-lung ventilation, insertion of specialized catheters, intraoperative monitoring, and transesophageal echocardiography. Anesthesiologists must be familiar with different methods of lung isolation, including management of episodes of hypoxemia, hypercarbia, and sequelae of increased pulmonary vascular resistance during lung isolation. Procedures with arrested heart on cardiopulmonary bypass require expertise in insertion of a percutaneous coronary sinus catheter for administration of retrograde cardioplegia, in addition to insertion of a pulmonary artery vent for left ventricular decompression. Transesophageal echocardiography is essential for placement of specialized cannulas for cardiopulmonary bypass, such as the endoaortic occlusion balloon clamp and remote access perfusion lines. In certain cases, anesthetic technique should facilitate intraoperative extubation and management of postoperative pain.

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