The first time...

It was an eventful day for me as I did my first CABG ( Coronary Artery Bypass Graft ) case today. HAving quite a number of trainees this year , I suppose my Consultants felt that even first year trainees should be exposed to cardiac anaesthesia which is something unique. The manipulation of our own physiology reaches nirvana ( literally !! ) in this sub speciality and major Op.Reading and doing the case are two different things ! SO macam orang jakun , I was so soo excited with the op today..

Cikgu Rezwan was supposed to undergo this procedure but he'll have to wait till he is better and fit for this major operation. This is truly a 50-50 kind of Operation where once you're anaesthetised and bypassed ; you don't know whether you'll wake up or not. One can just die on table.. scary eih..Tun M went for this Op 15 years ago and with the technology at that time.. it was a very risky operation !!

Basically the operation is about creating a bypass / graft of blocked vessels that supply the heart with oxygen. So how do you repair one's heart if it is the main vital functional organ that provides life to humans ? Can you just stop the heart and repair it .. an then revive it later..??

Yups.. that was exactly the procedure !!


aritificial humanoid.. 

Imagine for about 1.5 - 2 hours :

a) a machine taking over your vital physiology of sustaining life.
b) no breathing / ventilation .
c) heart stopped using a cocktail of drugs.
d) all monitoring and ventilator switched off.
e) body cooled to 20oC.

Basically, you are dead for that duration ; the machine ensures enough perfusion to the brain so you don't die.. I wonder how our "roh" copes with this condition of being temporarily "dead" ? Theoratically , as anaesthetists it is possible to make the patient aware during this time... Interesting eih..

When the bypass graft was done , you "kickstart" the heart by defibrillating ( ZAPPING ) the heart.. and hope that it will contract normally as before !! haks.. Amazing isn't it !! Subhanallah !!