Nursing Care of Coronary Artery Disease Patient under general anesthesia for On-pump coronary artery bypass graft (On- pump CABG) surgery and off-pump coronary artery bypass (Off-pump CABG) surgery: Case study 2 Case

Abstract

General anesthesia for coronary bypass surgery is a complex procedure that requires high technology and a high level skill of operator expertise. The objective of the study was to compare nursing care and improve the working services providing for patients under general anesthesia receiving Coronary Artery Bypass Graft with and without Heart-Lung Machine. . The study was collected data from two patients with coronary artery bypass surgery using heart lung machine while another was not using the heart- lung machine. The results of the study showed that at the preoperative phase, the nursing care providing from nurse anesthetist and the multidisciplinary team was not different between two patients. Indeed, both patients had anxiety at mild to moderate level... At the perioperative phase, it  was  found that the first patient who had coronary artery bypass graft using an artificial lung and heart machine had a long period of surgery, receiveda higher amount of anesthesia drug and having more blood loss comparing with another patient. Moreover, the first patient were also have a high  risk of pulmonary and cardiac machine withdrawal rather than another patient who did not use the heart-lung machine. At the postoperative period, both patients had problem about low urine output and low level of potassium.. Respiratory system and pain level were not different in both patients.. The results of this study can basically applied for improving the anesthesia services and establishing a guideline for the administration of general anesthesia in coronary bypass surgery in order to have a practical work effectively and also it can be  reduce complications that may occur to the patient.