reply to post by WeRpeons
Then, the best way to make an informed decision is to know how the procedure is done. Do you know?
The veins that are used are generally taken from the legs. The incisions on the legs can be rather large, and are painful. If her diabetes has been
severe or poorly tended, leg wounds tend to take a very long time to heal. This could be a potential hinderance to her walking. Recuperation from any
surgery is getting up and moving agin, walking is so important. Without proper pain control or motivation, she may not feel compelled to move as much
as she should.
Next, a large, 6-7 inch or longer, incision is made in the center of the chest. The breastbone is broken free and removed from the ribcage. The
patient is connected to a heart/lung machine, as the heart will be totally stopped. All blood will be re-routed through the heart/lung machine to
circulate, oxygenate, and filter the blood during surgery.
The chest cavity is then packed with ice until the heart slows down and ceases to beat. Once that happens, any blood left in the heart is removed, and
the veins that have been harvested from the legs are carefully placed into their bypass positions.
This is the most delicate part of the surgery, and doctors have stated that it is like trying to sew through a tiny wet, soggy noodle. Sometimes, this
tedious part takes the longest, because they have to make multiple attempts.
Once this is done, it still isn't over, as they must then test the grafted veins by flushing blood through to test for patency, to make certain there
are no leaks.
Once they are as certain as can be there are no leaks, the heart is then attempted to be restarted, and the heart/lung machine is turned off. This is
done with electrical shock paddlesapplied directly to the heart, and sometimes manual heart massage with the hand. If the heart does not start, drugs
are used in conjuction with these methods.
Sometimes, the heart will not restart. Usually, this is not the case, but obviously one of the largest risk factors if the surgery along with the
change to and from the heart/lung machine.
Search online for a video, or ask the doctor for one.
After the heart is restarted, the breastbone is re-placed and screws are used to hold it in place. The chest incision is then closed, and usually
staples are used.
Morphine or dilaudid pain pumps that are patient controlled are used for a day or two, and the patient will be in ICU. They will also be given
breathing treatments and exercises, called incentive spirometer to prevent pneumonia. She may be intubated and on a ventilkator for a few days, as
well, placed into a drug induced coma. All that depends on how she responds in surgery.
Without this information, she is not well informed. She has the right to know how it is done, and what can potentially happen.
You can probably find lots of information online.
edit on 21-1-2013 by Libertygal because: (no reason given)