Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2012  |  Volume : 56  |  Issue : 1  |  Page : 75-78

Novel anaesthetic approach for surgical access and haemodynamic management during off-pump coronary artery bypass through a left thoracotomy


1 Senior Consultant in Anaesthesia, Royal Hospital, Muscat, Oman
2 Resident in Anaesthesia, Oman Medical Specialty Board, Oman
3 Senior Consultant in Cardiothoracic Surgery, Royal Hospital, Muscat, Oman

Correspondence Address:
Madan Mohan Maddali
Senior Consultant in Anesthesia, Royal Hospital, PB. No: 1331, PC: 111. Seeb, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.93351

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For myocardial revascularization on a beating heart through a thoracotomy, a properly deployed endobronchial blocker (EBB) provides ideal conditions for surgical access. In addition, adequate volume replacement to achieve optimal cardiac performance is a primary goal of haemodynamic management in patients undergoing off-pump coronary artery bypass grafting. To achieve both these ends, this case report describes the combined use of a left-sided EBB along with a volumetric pulmonary artery catheter in a patient who underwent a successful off-pump coronary artery bypass surgery through an anterolateral thoracotomy.


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