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Anesthesia Management for Coronary Artery Bypass Grafting

Anesthesia Management for Coronary Artery Bypass Grafting

General Anesthesia 

Premedication:

  • Midazolam and fentanyl are frequently used .

Induction:

  • Most commonly used IV anesthetic are Propofol and Etomidate along with opioids Fentanyl,

Maintenance of Anesthesia:

Inhalational:

  • Isoflurane, Desflurane and sevoflurane are most commonly used along with the opioids.
  • Maintenance is usually done with the opioid volatile anesthetic, i,e Combination of volatile anesthetic agent along with opioids.
  • Halothane should be avoided.

Muscle Relaxants:

  • Vecuroniumis the 1st drug of choice in this case.
  • Rocuroniumcan also be used .

Total Intravenous Anesthesia (TIVA):

  • Induction as well as maintenance
  • Propofol (IV anesthetic) + Remifentanyl (Opioid) (second choice) for the mixed intravenous inhalational anesthesia.
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