Coronary Artery Bypass Grafting Case

Coronary Artery Bypass Grafting, or CABG, is a procedure that involves coronary arteries. The arteries are then bypassed by autologous or synthetic grafts. The purpose behind this procedure is to relieve the patient of coronary artery disease. According to PubMed Central, the outcome of a coronary artery bypass graft, or CABG, is for the patient to live longer. Unfortunately, patients still have coronary artery disease after the procedure. The patient will experience physical improvement. They will also have fewer symptoms of CAD, or Coronary Artery Disease (Hawkes). My patient who was undergoing this procedure is a 47-year-old male. The patient experienced horrid chest pain and shortness of breath. He was then referred to a cardiologist. The …show more content…
They prevent small potential injuries. Injuries can include ulnar nerve injury, blistering, and bruising. Positioning devices used for this case are as follows: foam padding, gel headrest, opti guard, and safety strap. Once the patient is sedated, the skin preparation starts. Shaving the area is not always necessary, but in this case, it was. The circulator will shave with clippers and remove hair with tape. The prep solution used in this case is Chloraprep. Chloraprep needs to be allowed to dry for 3 minutes. In this procedure, the prep begins on the patient's legs. The legs are prepped because a vein called the greater saphenous vein is taken out. It extends upward to the genitalia. It then extends to the soles of the feet. After the legs are prepped, the prep begins at the thorax. The prep boundaries are from the umbilicus to the gym and then down the sides of the patient. The thorax prep starts at the incision line. A circular motion is used to move the periphery. Following the skin prep is a Foley catheterization. The prep solution used for the catheterization is Betadine. After the Foley is inserted, the draping process …show more content…
Two more towels are placed on the feet when the leg bar is being taken away. A towel is also used to cover the groin. A towel is placed across the abdomen. After toweling off the feet, thighs, groin, and abdomen, square-off towels are used. Six towels square off the neck. After toweling off is completed, a layer of Ioban dressing is placed over top of the chest and abdomen. Lastly, two U- drapes are placed thus, finalizing the draping process. After the draping is completed, the surgeon is gowned and gloved by the surgeon. The mayo stand is brought to the operation site. The back table is placed on the side of the field. Once everyone is ready to begin, the surgeon calls for a time-out. A time-out board is read by the circulator in the room. A time-out is verifying the patient’s name, date of birth, allergies, and operation. After everyone agrees, the first incision is made with a #10 blade. The bovie is then driven down the sternum. A saw is then used to saw through the ribcage to gain access to the heart. Dr. Deel then lifts the left side with a mammary retractor. The first assist helps hold the mammary retractor, then the surgeon takes the internal mammary

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