Patients with heart-related ailments need not necessarily undergo surgery. There are occasions when they may be treated with lifestyle modifications, drugs, or nonsurgical treatments. Several procedures may help you stop aberrant electrical impulses from circulating through your heart, such as catheter ablation. Stent placement in a constricted or obstructed coronary artery is used in coronary angioplasty, an outpatient surgery requiring just a small incision.
Types of Cardiac Surgery:
- Coronary artery bypass grafting (CABG) – The most frequent kind of heart surgery is coronary artery bypass grafting (CABG), which involves connecting a healthy artery or vein from another part of your body to the blocked coronary artery. Using the grafted artery or vein, blood may now flow freely to the heart muscle that was previously cut off.
- Heart valve repair or replacement – An artificial valve or a biological valve created from the heart tissue of pigs, cows, or humans may be used instead of a damaged valve that needs repair. When a narrow valve in the heart is repaired, a catheter is inserted into a major blood artery, and a little balloon attached to the catheter is inflated and deflated.
- Insertion of a pacemaker or an implantable cardioverter-defibrillator (ICD) – To treat arrhythmia, a disorder in which the heart beats abnormally rapidly or slowly, medications are typically the first line of defence. Surgical placement of a pacemaker with wires connecting it to the heart chambers may be an option if medication is unsuccessful.
- Maze Surgery – An upper-heart scar tissue pattern is created by the surgeon to guide electrical signals to the lower heart chambers in a controlled manner. As a result of the procedure, atrial fibrillation—the most prevalent kind of severe arrhythmia – is prevented.
- Aneurysm repair – To repair a balloon-like bulge in the artery or heart muscle wall, a patch or graft is applied to a segment of the artery or heart wall that is deemed to be weak.
- Heart transplant – A healthy heart from a dead donor is used to replace the damaged heart.
How do I manage post-operative pain?
A cardiac anesthesiologist is also an expert in pain treatment for surgical-related illnesses. Your anesthesiologist will discuss your pain management choices after surgery. Before your operation, the anesthesiologist may inquire about your pain tolerance to determine how to effectively manage your post-operative pain, directing choices such as the appropriate narcotics dose, the viability of non-narcotic pain medication alternatives, and the need for nerve blocks.
Although the majority of cardiac operations are substantial procedures, they normally do not result in chronic discomfort. Even in the short term, the discomfort may be less severe compared to other surgical procedures. Opioids are administered as needed, although there are several choices for pain treatment, including:
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• Nerve blocks
• Nonsteroidal anti-inflammatory medicines
• Lidocaine infusion
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