Anesthesia for Myocardial Revascularization

Anesthesia for myocardial revascularization continues to evolve with advances in surgical approach and technique, anesthetic pharmacology, and monitoring technologies. Anesthesiologists are increasingly involved in the management of these patients as part of a multidisciplinary team. Considerable healthcare resources are consumed by revascularization procedures, and there is an urgent need to better control costs. Adjusting anesthetic techniques to better meet the needs of the current healthcare environment (eg, facilitating fast-tracking and reducing LOS) are important contributions to this process. Assuring that quality of care measures are met with ERAS is another area that will allow anesthesiologists to take on more responsibility in the care of CAD patients. This chapter focuses on epidemiology, the various aspects of surgical risk assessment, and surgical approaches, as well as the anesthetic implications in patients undergoing surgery for myocardial revascularization.