Awake CABG.mp4

[ferra047]

I'm a student in the uk and I want to do cardiac surgery as a specialism, I was wondering which grafts do you use, from the video I'm guessing radial arteries, but do you do any others gastro epiploic for example?Also how long on avg are your procedures lasting, in terms of actually making the graft? With the valve replacements are you doing only avr or mvr too? I know you say you use thoracic block for the anaesthesia but I'm guessing vein harvesting is done with another block or local? Thanks

[kshitijdubey1974]

@ferra047

dear ferra,

I use bilateral mamary, bilateral radial & veins as conduits. on an avg 1 hr is conduit harvesting time round about 15 mins per anastamosis & an hour of haemostasis.i have uploaded mvr with chordee preservation video for your ref. at times tea + sedation is not enough & we have to give local for vein harvesting.

reg

kshitij

[Wetlabtraining]

@ferra047

Hi Ferra, if you get time have a look at our channel, theres some CABG videos on there you might find interesting, they talk you through the steps of doing a CABG operation.

Thanks

The Wetlab Team

[rauno180]

what this ?

[monicaexplora]

Im a CV open Heart Scrub Nurse I would love to join your Team shadow a week to learn more....

[kshitijdubey1974]

@monicaexplora

I'm very happy to know your wish, we can accomodate you if you so wish. Do tell me about your plans.

kshitij

[monicaexplora]

Join Our National Apprentice Doctor Health Care Chapter Today!!Meetup

[monicaexplora]

hats off to this Team! MWH

Join Our National Apprentice Doctor HealthCare Chapter Today!!

[MO4B]

cool. what if the person decides to move around a bit?

[kshitijdubey1974]

@MO4B 

[kshitijdubey1974]

@MO4B

happens very often, you just need to re-assure him

kshitij

[khanasohrab]

My CABAG was done 1997, triple veselles, 5 paasses. Now Left artrie got block again. Can I have another byepass?

Where u guys are located.? Phone number please.

[jewelofcharm]

wow... its amazing...

[kshitijdubey1974]

@jewelofcharm

thanks mate

[mel577]

@kshitijdubey1974 Wow Dr Kshitij Dubey, this is amazing. You literally take on your hands the lives of individuals, what a great responsability. Thanks for posting this.

[kshitijdubey1974]

@mel577

thanks freind, Its just about training. I may not be as good in music, dance or other art forms, it's just practising what you have learnt.

kshitij

[outlawpaki]

i am totally amazed ! where you from doc ?

[kshitijdubey1974]

thanks,

I'm a cardiac surgeon working in indore, madhya pradesh, INDIA.

[outlawpaki]

@kshitijdubey1974 hatts off to you sire !

[pureassyrian1]

Wow, it's amazing how the patient was alive during this type of surgery. Would the patient notice the difference in transition between the heart and heart-lung machine operating?

[kshitijdubey1974]

durinng the transition from spontaneous toheart lung machine thepatients desire to breath is gone as the function is performed by CPB machine

[pureassyrian1]

I see. Interesting video though.

[mmc386]

What are the advantages of keeping the patient awake? I think you would want to be unconscious during this type of surgery.

[kshitijdubey1974]

ADV- no general anaesthesia(relaxants/inhalati­onal), no endotracheal intubation, ventilator is not required in post op period, lesser icu stay, less hospital stay, lesser cost.

regards

kshitij

[dpeeyush]

Nice video, but a bit of commentry would helped to understand what is going on.