title: Novel anaesthetic approach for surgical access and haemodynamic management during off-pump coronary artery bypass through a left thoracotomy.
abstract: For myocardial revascularization on a beating heart through a thoracotomy, a properly deployed endobronchial blocker (EBB) provides ideal conditions for surgical access. In addition, adequate volume replacement to achieve optimal cardiac performance is a primary goal of haemodynamic management in patients undergoing off-pump coronary artery bypass grafting. To achieve both these ends, this case report describes the combined use of a left-sided EBB along with a volumetric pulmonary artery catheter in a patient who underwent a successful off-pump coronary artery bypass surgery through an anterolateral thoracotomy.
authors.affiliation: Senior Consultant in Anaesthesia, Royal Hospital, Muscat, Oman.
authors.forename: Madan Mohan
authors.initials: MM
authors.lastname: Maddali
authors.forename: Abdullah M
authors.initials: AM
authors.lastname: Al-Jadidi
authors.forename: Sunny
authors.initials: S
authors.lastname: Zacharias