Total Arterial Off Pump Awake Cardiac Surgery

[TheKusumakumari]

good tevnique I feel Indian doctors can operate better than the western cunterparts in america and UK., In coming years many doctors will be sending their patients to idnia for treatment

[Maufer528]

0:26 sin guantes???? mmmm mal ahi!

[mekcga]

looks afraid

[aardvark3141]

I want to be a cardiothoracic surgeon. I am working hard now to become one.

[surjs1]

thanks for sharing this video but you are violating the patient's privacy by showing the face again and again. You should avoid to show the face on next videos.

[oeat001]

Oh, fuck being awake for that!

Hey man what you up to? Just chiiiilllin.

[shripalmdoshi]

hi! watched yr awake cabg video. great job do udo it regularly? how often pleura gets opened? when large opening how do u manage?

shripal doshi cvts mumbai

[docgaganshrivastava]

Yes we are doing it regularly, but there are certain criterias as to which patient can undergo surgery with this technique. Regarding pleural opening, our surgeons are very careful so that pleura is not opened, they harvest LIMA/RIMA extrapleuraly, if at all there is a large rent, general anesthesia is administered with ETT and positive pressure ventilation. I demostrated this technique and had a lecture at World Anesthesia Congress held at Dubai this yr. Regards and thanks for your comments.

[Dylan2913]

why would eny one want to video that i think its sick

[docgaganshrivastava]

Dear glovztoshow, I'll be glad to answer your queries but can you elaborate your question.

[ollanaty199063]

I am cardiovascular anestnesiolgy , we make cardiovascukar surgery With TEA, together sedative medicaation and Laryngeal mask, but never use TEA along

[fahsquad]

Thank you for the video. I have not seen off pump cabg at my institution in USA. What have you used for sedation and is it on continuous infusion. What rate? How do you feel about adding bupivicaine to the epidural infusion? Also, how often do you have to convert to GA for reasons pertaining to bleeding and hemodynamic compromise.

[docgaganshrivastava]

Thanks

[Adelvilla]

Indian doctors are really experts!

[docgaganshrivastava]

Thanks

[Adelvilla]

I Hope ill be a doctor someday!

[taloytodamax]

nice video...thank you!

[docgaganshrivastava]

Thanks for your compliments !

[escobarr68]

Congratulations, your video is excellent. A question, the patient a question, the patient had this level of ETCO2 in the video shown throughout the surgery despite the sedation? We in Mexico City have not published a small series of patients managed with this technique although all ETCO2 levels remained above 45 mm Hg, and solved this problem? Greetings

[docgaganshrivastava]

Thanks for u'r comment. yes we were able to maintain ETCo2 levels as displayed in the video by optimising the sedation and preventing tongue fall (if it happens) by using nasopharyngeal airway. It makes respiration smooth and is a wonderful thing to prevent tongue fall.