Cardiothoracic & vascular anesthesia
Physiology-Guided Anesthetic Management for Off-Pump Coronary Artery Bypass Without Advanced Monitoring: A Single-Center Observational Cohort Study
Authors' conclusion
A physiology-guided anesthetic strategy appears feasible and may allow acceptable perioperative outcomes in OPCAB performed in resource-limited settings without advanced hemodynamic monitoring.
Study context
- Population
- Adults undergoing elective off-pump coronary artery bypass (OPCAB) at a tertiary cardiac centre in a resource-limited setting
- Participants
- 52 adults
- Outcome
- Fast-track recovery
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Time to extubation after surgery, majority of patients (hours)
4 ± 2
ICU stay ≤2 days
94.3%
Observational data: associations, not effects.
Further findings
Hemodynamic instability
- Occurred primarily during posterior wall exposure; managed with norepinephrine and Trendelenburg positioning
Mortality · 30 days
- 30-day mortality
- 1.9%
Safety
Conversion to CPB
- Conversion to CPB
- 1.9%
Arrhythmias
- Arrhythmias, predominantly transient
- 19.3%
Postoperative complications
- AF
- 7.7%
- AKI
- 5.7%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Physiology-Guided Anesthetic Management for Off-Pump Coronary Artery Bypass Without Advanced Monitoring: A Single-Center Observational Cohort Study. J Cardiothorac Vasc Anesth. Published 3 June 2026. doi:10.
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