Total Arterial Off Pump Awake Cardiac Surgery

I am Dr. Gagan Shrivastava, Cardiac Anesthesiologist at Indore, India.This is a new video in our series of awake cardiac surgeries. This time we have included captions along with the video to make it easy to understand. In this surgery we have done a total arterial coronary bypass using the left and right internal mammary and left radial arteries. Since arterial grafts are known to have better longevity, we try to use them as often as posiible. However there use also depend on lot of other factors like number of conduits required, condition of arteries etc. We are regularly doing various awake cardiac surgeries at our centre.

Category:

Science & Technology

Tags:

• Awake
• Cardiac
• Surgery
• thoracic
• epidural
• anaesthesia
• gokuldas
• hospital
• coronary
• artery
• bypass
• LIMA
• RIMA
• total
• arterial
• radial

[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.

[docgaganshrivastava]

Thanks

[Adelvilla]

Indian doctors are really experts!

[docgaganshrivastava]

Thanks

[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.