Wockhardt Hospitals- Guide on Coronary Artery Bypass Graft Surgery

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)

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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:

2Wockhardt Hospitals Ltd, India

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.

3Wockhardt Hospitals Ltd, India


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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.

Wockhardt Hospitals Ltd, India 4


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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.


Documents

Wockhardt Hospitals- Guide on Coronary Artery Bypass Graft Surgery