Nursing Care Plan – Minimally Invasive Direct Coronary Artery Bypass
Minimally Invasive Direct Coronary Artery Bypass may be indicated for patients with a lesion of left anterior descending (LAD) artery. In one of the most common MIDCAB procedures, after a 2-inch left thoracotomy incision is made and the fourth rib is removed, the left internal mammary artery (IMA) is dissected and attached to the still-beating heart below the level of lesion in the left anterior descending (LAD). Patient tend to have more incisional pain after MIDCAB than after CABG surgery, but the pain can susually be managed with oxycodone or codeine.
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