Technical Instructions for Coronary Artery Thesis

Indeed, "time heals all wounds," even those resulting from open heart surgery, and the payoff was shown to be clearly worth the risks involved for most of the people who electively seek out the CABG procedure for their coronary heart disease.

References

CABG and PCI Each Have Strengths, Weaknesses Ann Intern Med. 2007 [Published online Oct.

16, 2007] cited in Latest research. (2007, November 2). Medical Economics, 84(21), 75.

Ben-Zur, H., Rappaport, B., Ammar, R. & Uretzky, G. (2001). Coping strategies, life style changes and pessimism after open-heart surgery. Health and Social Work, 25(3), 201-

Kos-Munson, B. A, Alexander, L.D., Culbert, P.A., Hinthorn, E.L. & Goetze, C.M. (1988).

Psychosocial predictors of optimal rehabilitation post-coronary artery bypass surgery.

Scholarly Inquiry for Nursing Practice, 2(3), 171-172.

Peterson, J.C., Charleson, M.E., Williams-Russo, P. & Krieger, K.H. (2002). New

postoperative depressive symptoms and long-term cardiac outcomes after coronary artery bypass surgery. The American Journal of Geriatric Psychiatry, 10(2), 192-193.

What is coronary artery bypass graph? (2010, January). U.S. Department of Health & Humans

Services -- Heart, Lung and Blood Institute. [Online]. Available: http://www.nhlbi.nih.

gov/health/dci/Diseases/cabg/cabg_whatis.html.

Appendix A

What patients should expect before, during and after a CABG procedure

Stage

Description of Events/

Prior to surgery

Most patients will undergo a series of tests to prepare them for the CABG, including blood tests, an electrocardiogram, echocardiography, a chest x ray, cardiac catheterization, and coronary angiography. In addition, physicians may provide individualized instructions to the patient preparatory to surgery regarding what to eat or drink, what medicines to take, and what activities to stop (such as smoking).Most patients are admitted to the hospital on the same day as the surgery. If tests for coronary heart disease show that there are severe blockages in the coronary arteries, the patient may be admitted and the CABG procedure performed immediately.

During Surgery

This type of surgery usually lasts 3 to 5 hours, depending on the number of arteries being bypassed. Numerous steps take place during traditional CABG including the administration of general anesthesia. Other steps and procedures that take place during the CABG are available at http://www.nhlbi.nih.gov/health/dci/Diseases/cabg/cabg_ during.html and elsewhere but which are not relevant to the issues under consideration herein but which should be thoroughly communicated to the patient during the informed consent process.

After Surgery

After surgery, CABG patients typically spend 1 or 2 days in an intensive care unit (ICU) where their vital signs are monitored regularly and IVs continued or started. Patients are provided with individualized instruction concerning what steps they should follow following their release from the hospital. Complete recovery from a traditional CABG typically requires between 6 to 12 weeks or longer, with less recovery time being needed for nontraditional CABGs. Full recovery from a general anesthesia procedure may require up to 6 months or even longer depending on the individual's physical health and comorbid conditions (pers. obs.).

Source: (What is coronary….....