CABG Surgery Plan of Care Essay

Interdisciplinary Care Providers

CABG or coronary artery bypass graft surgery is advised for individuals suffering from CHD (coronary heart disease), for alleviating symptoms, prolonging lifespan, and improving QOL (quality of life) (Bayoumi, 2015). Improvements in mechanical ventilation-supported cardiac operation patient management continues to be a major focus area for better optimizing clinical results. The FTE (fast-track extubation) theory applied in case of cardiac operation patients is growing in popularity, in a bid to offer more economical and superior-quality healthcare. A large number of research works have established that prompt extubation (i.e., between 6 and 8 hours after surgery) may be a safe step, whilst decreasing admission and resource use expenses (Cheng, Karski & Peniston, 1996). In spite of the aforementioned advantages, prompt extubation is not consistently performed, underscoring the need to adopt a protocolized strategy for decreasing setbacks and variations and linked to weaning mechanical ventilation. Time-guided extubation protocols’ benefits have been adequately recorded, but the in-depth representation of well-defined, algorithmic rules targeted at early extubation (which may be applied to a varied cardiac operation patient population) continues to be limited (Chan et al., 2018).

CABG surgery-recommended patients must be confident that professional nursing personnel are well-informed, empathetic, well-organized, and competent with regard to offering requisite peri-surgical care. Appropriate patient and spouse/partner preparation, in-depth knowledge, intra-surgical expertise, and nurse competence and empathy in the post-surgical period improves chances of positive patient outcomes. An empathetic, qualified, and well-informed nursing practitioner charged with caring for CABG surgery patients constitutes an asset when it comes to achieving positive patient and spouse/partner outcomes. CABG surgery patient care is an intense, satisfying, and complicated process. Patients transferred from the operation theatre to the ICU are intubated, unconscious, and entirely reliant on both sophisticated technology and expert healthcare professional care. Generally, organ system functioning reverts to normal, invasive lines and mechanical ventilation are discontinued, and patients start working towards increased autonomy one to two days following surgery. CABG surgery, however, doesn’t cure CHD; rather, it accords patients a chance at making necessary lifestyle changes and achieving optimal health. Nursing professionals form part of a team which makes such a reversion to health possible for patients (Bayoumi, 2015).

Post-operative Management

While a few healthcare facilities undertake uncomplicated patient management within post anesthesia care units, the majority of patients are hospitalized in cardiac surgery-specific ICUs. A committed unit comprising of expert intensivists, pharmacists, respiratory therapists, nursing care providers, and other associated healthcare providers can improve patient outcomes. Particularly following cardiac surgery, intensivist involvement reduced post-surgical mechanical ventilation duration, hospitalization duration, overall expenses, and need for blood transfusion. During the 90s, “fast-track” peri-surgical management protocols were devised for reducing resource utilization and length of hospitalization. These protocols sensibly employ narcotics, short-acting anesthetic agents, and relative normothermia for facilitating swift extubation and patient transfer from the ICU to the subsequent care unit. Several management approaches addressed attempt at facilitating such swift progression between early post-surgical care and ICU discharge. A majority of patients display swift progress, needing a fairly short-duration critical care (i.e., between 6 and 24 hours) prior to being shifted to the subsequent, step-down care unit (Ender, Borger & Scholz, 2008).

The operation theatre-ICU transition is intrinsically risky business, with the presence of a doctor, operational pacing wires, constant ECG and hemodynamic monitoring, and resuscitative medication crucial to patient safety. Power-driven infusion pumps facilitate seamless vasoactive and sedative administration. Ventilation may be manual or mechanical, with the former being a simpler approach; however, care needs to be taken to prevent hypoventilation. If the operation theatre is situated close to the post-surgical care unit or ICU, transfer time may be reduced and, in case of any emergency, a swift operation-theatre return may be facilitated. On arriving at the ICU, it is vital to institute a practice…