wockhardt hospitals- guide on coronary artery bypass graft surgery
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8/3/2019 Wockhardt Hospitals- Guide on Coronary Artery Bypass Graft Surgery
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Speciality Information Series by
Wockhardt Hospitals
Coronary ArteryBypass Graft Surgery
(CABG)
A lifeline back
to a healthy
and active life..!
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Wockhardt Hospitals Ltd Wockhardt Hospitals - One of the leading
super specialty healthcarenetworks in India.
Pan India presence with 8 multi-specialty
hospitals:
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NUSI Wockhardt Hospital, Goa
Wockhardt Heart Hospital, Nagpur
Wockhardt Super Speciality Hospital, Nagpur
Wockhardt Hospitals, Nashik
N M Virani Wockhardt Hospital, Rajkot
Adventist Wockhardt Heart Hospital, Surat
Wockhardt Hospitals, Bhavnagar
Sterling Wockhardt Hospital, Vashi
Wockhardt Hospitals, South Mumbai
Speciality care in: Cardiology
Cardiac Surgery
Neurology
Neurosurgery
Minimal Access
Surgery
Aesthetic Surgery
Urology
Nephrology
Oncology
Orthopaedics
Endocrinology
Gynecology
Paediatrics
Critical Care
Emergency &
Preventive Healthcare
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Heart Care@ Wockhardt
Leaders in Heart Care in India since
1990.
Speciality Services in: Interventional Cardiac Procedures
Cardiothoracic and Vascular Surgery procedures
Pediatric Cardiology and Cardiac Surgery
Our Differentiators: World-class Care
State of art technology
Best in class medical expertise
Our achievements include Worlds first conscious off pump Coronary
Artery Bypass surgery.
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Coronary Artery Bypass
Graft Surgery (CABG)
What is CABG Surgery?
Plaque formations in heart due to ageing
or cholesterol and mineral deposits maycause blood clots in arteries or restricted
blood flow to the heart.
CABG surgery is an open-heart operation
in which arteries or veins are taken fromanother part of the body to channel
needed blood flow to the coronary
arteries.
During surgery, these arteries or veins are
connected directly to the coronary
arteries on the surface of the heart
beyond the blockages. This way, blood can
flow through them to bypass the
narrowed or closed points.
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Conscious off-pump
coronary artery bypass surgery
What is conscious off-pump coronary
artery bypass surgery (awake bypass
surgery)? Conscious off-pump coronary artery
bypass surgery is a break through step in
Fast-track care of bypass surgery
patients.
Awake bypass surgery is the latest
advance in beating heart surgery which is
performed with epidural anesthesia,
eliminating theneed and risks ofgeneral
anesthesia.
The patient undergoes painless bypass
surgery while actually awake and can
converse with the operating surgeon and
his team.
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Awake bypass surgery
procedure
How is awake bypass surgery
performed?
Awake bypass surgery uses a precision
based technique, which involves injection
of micro doses of local anesthesia that
anesthetizes only the chest region while
the rest of the system is fully awake. When the anesthetic medicine is steadily
delivered to theepidural space of the
spine, the patient feels no pain in the
chest area.
Minimal medication is given to reduce
anxiety and the patient remains awake
during theentire surgery.
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What are the patient benefits
with Awake bypass surgery?
Awake bypass surgery offers many
benefits for the patient. They are:
No general anesthesia
Can be performed for high-risk group of
patients who wereearlier termed in-
operable because of risk ofgeneral
anesthesia Avoidance of cardiac depression due to
general anesthesia and premedication
drugs.
No post-operative ventilator supportrequired which reduces post-operative
intensive care to less than 24 hours
Overall hospitalization can be reduced by
3 days.
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What is the pre-surgery
hospital procedure?
Preparing for your surgery
Typically a patient is admitted to the
hospital with enough time before the
operation date to allow diagnostic tests to
be done.
These routinely include blood and urine
tests, chest xrays, electrocardiograms(ECGs) and so on.
Cardiac catheterization with coronary
angiograms is done during the pre-
operative hospital stay.
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Blood used during surgery There is an option of Pre-
donation for blood transfusion
during surgery If you are found to be fit, one or two
bottles of your own blood may be drawn
before surgery which will be used for
blood transfusion, during or after surgery.
It is the safest blood transfusion, and
eliminates or reduces theneed for donor
blood transfusion.
This may be done before or after your
admission, on the decision of your
cardiovascular surgeon.
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Before theOperation
Most of your body hair will be shaved off,
especially from your chest and legs.
You will be asked to shower to remove
bacteria from the skin to reduce the
chance of infection.
Personal items such as glasses, contact
lenses, dentures, detachable bridge work,
watches and jewellery will have to be
removed for safe keeping. Medications that will make you relaxed
and drowsy will begiven about an hour
before the operation.
Attendants will wheel you to the
operating room on a rolling bed.
In the operating room, an anesthetic that
brings sleep and freedom from pain
during the operation will begiven.
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After the operation
Patient is taken to the recovery area or
an intensive care unit (ICU).
Be sure your surgeon knows where
your family will be waiting. A member of the family may visit
briefly in the recovery or intensive care
unit after a few hours of the operation
when the patient is awake.
During the recovery period and
beyond, most patients have goods
days and bad days with overall
progress and a gain in strength.
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CABG Surgery -
Frequently Asked
Questions
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FAQs
How long does a CABG surgery
last?
Coronary artery bypass graft operations
usually last from three to six hours, theirduration depending on thenumber of
vessels to begrafted.
However, each operation varies in
complexity, so its duration can only beestimated.
How long is the convalescent
period in the hospital?
Usual stay after surgery 5-7 days
In case of minimally invasive coronary
bypass surgery (MICAS) 3-4 days
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FAQs
What can be done to help
recovery?
Deep breathingexercises and coughing
are important ways to speed recovery.
Coughing reduces the chances of
pneumonia and fever and will not harm
the incision or bypass grafts.
Most patients will have fear of pain,discomfort and dont like to cough after
an operation, still coughing is essential.
Some patients find it easier to cough if a
pillow supports their chest. You can help you own recovery by
changing positions in bed often.
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FAQs
Will there be pain and fever afterthe operation?
The incision made along the midline of the
chest through the breastbone may hurt.
Heavy perspiration during thenight or even
the day are oftennoticed.
Fever may continue for 3-4days after surgery.
Medication will begiven to provide relief.
When can I get out of bed?
Patients may get out of bed and sit in a chair
or walk around the room as soon as they areable usually within a day or two.
Eventually, short walks in the hall & stair
climbing can prepare you for going home.
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FAQs
When can I eat and drink?
Once your breathing tube is removed, you
will be able to swallow liquids.
Your progress from liquids to regular diet isan individual matter, which depends on your
digestive system.
It is possible you may have a depressed
appetite for some days due to mild
indigestion caused by stress. This will
improve on your return to normal activities.
Can I have bath?
Patients aregiven sponge baths right away. It
will be a few days however, before you are
allowed to shower and shampoo.
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FAQs
When should routine follow up
doctor appointments be
scheduled?
This depends on the patients need and the
wishes of the cardiovascular surgeon.
Patients are usually advised about future
surgical appointment when they are
discharged from the hospital.
You should see your cardiologist regularly
and have lipid profile, TMT & Echo tests at
regular intervals to assess progress.
You should make an appointment with your
personal or family doctor soon after
returning home.
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FAQs
What can you do to help yourself
after returning home?
There is a lot you can do to help yourself,
both before and after your operation, to
make sure your operation is successful and
that you have smooth and happy recovery
period. If you smoke, give up smoking
Watch your weight
Watch your cholesterol level
Be positive
Keep physically active
Only take medicines that are prescribed by
your doctor
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FAQs
How long do I have to wait before
returning to work?
If you perform a sedentary job, the average is
between three to six weeks.
If your job involves heavy work, the time is
six weeks or longer.
However, your Doctor is the best guide to
help decide when you can return to work.
What about sexual relations?
Typically patients may resume sexual
relations when they feel like it.
If you have more questions, talk to your
Doctor.
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FAQS
Will there be restrictions on
driving an automobile?
You may begin driving any time you feel
physically able to operate the vehicle safely.
It is usually best to wait a few weeks after
leaving the hospital to begin driving a car.
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