Seminars in Cardiothoracic and Vascular Anesthesia

 

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Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 3, No. 2, 126-135 (1999)
DOI: 10.1177/108925329900300208

Minimally Invasive Cardiac Surgery: Impact on Resource Usage, Costs, Length of Stay, and Return to Function

Muhammad S. Ghotbi

Emory University Hospital, Department of Anesthesiology, Atlanta, GA

James G. Ramsay

Emory University Hospital, Department of Anesthesiology, Atlanta, GA

"Minimally invasive" approaches to coronary artery surgery include a number of procedures, most of which avoid the use of extracorporeal circulation. Economic considerations have contributed to the rising interest in these techniques. This article reviews current literature and potential ways in which these procedures may reduce overall costs. Several studies have reported decreased mean length of stay and overall hospital costs in patients undergoing off-bypass or "beating heart" procedures. Most of these studies have included small numbers of patients and have lacked long-term follow-up data. Prospective randomized trials are needed to conclusively establish these early findings. Copyright© 1999 by W. B. Saunders Company.


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