心臟搭橋手術英文

演講人：日期：心臟搭橋手術英文BasicconceptsandbackgroundofcardiacbypasssurgeryPreoperationalevaluationandpreparationworkDetailedexplanationandskillsharingofthesurgicalprocess目錄PostoperativemonitoringandrehabilitationguidanceLongtermfollow-upmanagementandeffectivenessevaluation目錄01BasicconceptsandbackgroundofcardiacbypasssurgeryDefinitionHeartbypasssurgery,alsoknownascoronaryartbypassgrafting(CABG),isasurgicalprocedurethatrestoresbloodflowtotheheartmusclebyredirectingtheflowofbloodaroundasectionofablockedorrentedcoronaryartFunctionThemainfunctionofheartbypasssurgeryistoimprovebloodflowtotheheartmuscle,relievingsymptomsofcoronaryarterydiseasesuchaschestpainandshortnessofbreathItcanalsoreducetheriskofheartattackandothercomplicationsIntroductiontoDefinitionandFunctionHeartbypasssurgeryisstylishlyrecommendedforpatientswithmultiplecoreartissues,includingthosewithmultipleblockedartsorthosewhohavenotrespondedwelltoothertreatmentssuchasmedicineoranimoplastyIndicationsContainsforheartbypasssurgerymayincludemultipleheartfailures,multiplelungdiseases,kidneyfailures,orothermedicalconditionsthatmayincreasetheriskofcomplicationsduringoraftersurgeryContainsAnalysisofindicationsandcontraindicationsDevelopmentHistoryHeartbypasssurgeryhasonesignificantdevelopmentsinceitsinceptioninthe1960sInitially,thesurgeinvolvedusingthepatient'sownveinsorartstocreateabypassaroundtheblockedcoreartOvertime,surgicaltechniquesandtechnologieshaveimproved,leadingtobetteroutcomesandreducedrisksCurrentSituationCurrently,heartbypasssurgeryisacommonperformedprocedureworldwideItisconsideredasafeandeffectivetreatmentoptionforpatientswithseverecoronaryarterydiseaseSurgeonscontinuetoresearchanddevelopnewtechnologiesandtechnologiestofurtherimproveoutcomesandreducerisksassociatedwiththeeconomyOverviewofDevelopmentHistoryandCurrentSituationInternationalCooperationThereisextensiveinternationalcooperationinthefieldofheartbypasssurgerySurveysandresearchersfromdifferentcountriescollaboratetoshareknowledge,techniques,andtechnologiestoimprovepatientoutcomesInternationalconferencesandworkshopsarealsoheldregularlytodiscussthelatestadvantagesinheartbypasssurgeryInternationalcooperationandexchangesituationExchangeSituationSurveysandmedicalprofessionalsfromdifferentcountriesoftenvisiteachother'sinstitutionstolearnaboutnewtechnologiesandtechnologiesinheartbypasssurgeryThisexchangeofknowledgeandideashelpstoimprovethequalityofcareprovidedtopatientsworldwideAdditionally,manyhospitalsandmedicalcentersofferfellowshipprogramsforsurgeonsinterestedinspecializationinheartbypasssurgery,furtherpromotingtheexchangeofknowledgeandskillsInternationalcooperationandexchangesituation02PreoperationalevaluationandpreparationworkEvaluationofcardiovascularfunctionAssessmentoftheheart'spumpingability,valvefunction,andanypotentialblockagesornarrowingoftheartsAssessmentofcomorbiditiesEvaluationofanyadditionalmedicalconditionssuchasdiabetes,lungdisease,orkidneydiseasethatcouldaffectlargeoutputAssessmentofsurgicalriskDeterminationofthepatient'soverallriskforapplicationsduringandaftersurgerybasedontheirmedicalhistory,physicalconditions,andthecomplexityoftheprocedurePatientphysicalconditionassessmentBloodtests01Completebloodcount,electrolytelevels,bloodtyping,andcrossmatchingincasebloodtransferisneededImagingstudies02ChestX-ray,electrocardiogram(ECG),andechocardiogramtoassesstheheart'sstructureandfunctionAdditionaltestsasneeded03Dependentonthepatient'scondition,additionaltestssuchasstresstests,cardiaccatalysis,orCTscansmaybeorderedListofpreoperativeexaminationitemsThepatientwillbeunconsciousandunabletofeelpaidduringthesurgeryRisksincluderespiratorydepression,acutereactionstoanesthesiabugs,andpostoperationalfusionThepatientwillbeawakenedbutrelieved,andthesurgicalareawillbenumberedRisksincludeincompleteanesthesiaandawarenessduringsurgeryPatientsshouldbeinformedofthepotentialrisksassociatedwithAnesthesia,includingtheraylikelihoodofdeathTheyshouldalsobeadvisedtoinformtheasesthesiologistofanypreviousreactionstoasesthesiaormedicineGeneralanesthesiaLocalanesthesiawithsedationRiskwarningsSelectionofAnesthesiamethodsandriskwarningsSterileenvironmentTheoperatingroommustbesteriletominimizetheriskofinfectionThisincludestheuseofsterilesurgicalinstruments,drapes,andgovernmentsEmergencyequipmentEmergencyequipmentsuchasdefibrillators,vendors,andsuctiondevicesshouldbeavailableincaseofapplicationsduringsurgeryPatientmonitoringContinuousmonitoringofthepatient'svitalsignssuchasheartrate,bloodpressure,andoxygensaturationisessentialduringsurgeryEquipmentpreparationAllnecessarysurgicalequipmentsuchastheoperatingtable,lights,andmonitorsmustbecheckedandpreparedbeforesurgeryOperatingroomenvironmentandequipmentpreparation03DetailedexplanationandskillsharingofthesurgicalprocessDemonstrationofdiscoveryandtowelllayingoperationprocessIllustratethecorrectmethodofdrawingthepatientwithsteriletowelstocreateasterilesurgicalfieldTolaytechniqueEmphasisontheclinicalroleofmaintainingasterilefieldtopreventpostoperationalinfectionsImportanceofstrictalkalinetechnologyGuidethroughtheprocessofinvestigatingthesurgicalsite,includingtheuseofappropriateantimicrobialsolutionsStepbystepdemonstrationofinvestigationConsiderationsforinvestmentlocationDiscussionfactorssuchaspatientanalysis,emergencypreference,andsurgicalapproachthatimpactinvestmentplacementTypesofimpactsDescribevarioustypesofimpactsusedinheartbypasssurgery,includingmediasternotomyandthoracomyTechniquesforexposingtheheartExplainhowtosafelyandeffectivelyexposetheheartforsurgery,includingtheuseofretrieversandothersurgicalinstrumentsDiscussiononinvestmentselectionandmethodsofexposingtheheartSourcesofbypassbloodvesselsDiscussionscommonsourcesofbloodvesselsforbypassgrades,suchastheinternalsummaryart,radialart,andsaphenousveinHarvestingtechniquesDescribethemethodsusedtoharvestbloodvesselsfromthepatient'sbody,includingopenandendoscopictechniquesProcessingofbloodvesselsExplainhowthesharedbloodvesselsarepreparedforuseasbypassgrades,includingcleaning,sizing,andanticoagulationtreatmentIntroductiontotechniquesforobservationandprocessingbybloodvessels010203KissingsouthanalysisDescribethetechniqueofcreatingaKissingsouthanalysis,whichinvolvesjoiningtwobloodvesselstogethertoformacontinuouschannelforbloodflowHeterostasisstrategiesDiscussionsonvariousmethodsofcontrollingblendingduringsurgery,includingtheuseoffeatures,clips,andhomeostaticagentsImportanceofhomeostasisEmphasizethecriticalimportanceofachievingeffectivehomeostasistopreventpostoperationalblendingcomplexesExplorationofKissMouthMakingandHeterostasisStrategies04PostoperativemonitoringandrehabilitationguidanceClosemonitoringofvitalsignalsHeartrate,bloodpressure,respiratoryrate,andtemperatureshouldbecontinuouslymonitoredtoensurestablehemodynamicsAssessmentofneurologicalstatusRegularevaluationofconsensuslevel,publicresponse,andmotorfunctioniscriticaltodetectanypotentialneurologicalcomplexesManagementoffluidbalanceStrictattentionshouldbepaidtofluidintakeandoutputtopreventfluidoverloadordehydration,whichcanaffectcardiacfunction010203ExplanationofprecautionsduringICUmonitoringperiodMultimodalanalysisAcombinationofdifferentanalyticalagents,suchasopioids,nonsteroidalantiinflammatorydrugs(NSAIDs),andlocalaesthetics,canbeusedtoeffectivelycontrolpaintPatientcontrolledmanagement(PCA)PCAdevicesallowpatientstoselfadministermanagementwithinsafelimits,providingflexibleandindividualizedpayreliefNonpharmacologicalinterventionsTechniquessuchasrelaxationtraining,deepbreakingexercises,anddissipationcanbeusedasadjustmentstopharmacologicaltherapytoenhancepainreliefDeploymentofpaymanagementstrategiesInfectionpreventionStrictalkalinetechnologiesshouldbefollowedduringallinvasiveprocedures,andphysiologicalantibioticsmaybeadministeredtoreducetheriskofsurgicalsiteinfectionsDeepveinthrombosis(DVT)prophylaxisMeasuressuchasearlyinflammation,compressionstockings,andintermittentpneumaticcompressiondevicescanbeusedtoreducetheriskofDVTRespiratorycareRegularChestPhysicotherapyandIncentiveSpirometrycanhelppreventpulmonarycomplicationssuchasatelectasisandpneumoniaPresentationofproactivemeasuresfor