How is anesthesia maintained during coronary artery bypass grafting (CABG)?

Updated: Dec 04, 2019
  • Author: Rohit Shahani, MD, MS, MCh; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Typically, maintenance of anesthesia is accomplished with an opioid infusion (fentanyl, alfentanil, sufentanil, or remifentanil) combined with either a propofol infusion (total IV anesthesia) or a volatile agent. Volatile agents are generally carried in an air-oxygen mixture because the use of nitrous oxide as a carrier is controversial. Isoflurane may have a myocardial protective effect and is therefore especially useful in off-pump surgery.


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