AI Article Synopsis

  • The best way to monitor patients during off-pump coronary bypass surgery is still being discussed.
  • Using capnography and end-tidal carbon dioxide pressure can help track changes in cardiac output, particularly when working on certain heart vessels.
  • A decline in end-tidal carbon dioxide pressure can signal decreased cardiac output and potential complications, making this method quick, easy, and widely accessible.

Article Abstract

The optimum method of intraoperative monitoring in patients undergoing off-pump coronary bypass remains debatable. Using capnography and end-tidal carbon dioxide pressure may be a helpful method of monitoring cardiac output trends, especially when grafting posterior and lateral vessels. After repositioning the heart, End-tidal carbon dioxide pressures that continue to trend down usually indicate decreased cardiac output and precede hemodynamic and electrical instability. The advantages of this method include simplicity, universal availability, and a short response time to changes in cardiac output.

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Source
http://dx.doi.org/10.1016/j.athoracsur.2010.12.039DOI Listing

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