The Transition from Volume-Based to Value-Based Patient Care
Healthcare systems have recognized CABG surgery as one of the most costly single surgical procedure performed in cardiac surgery. Understand how bundled-payment models and standardized care pathways may significantly impact quality improvement initiatives and positively affect the costs associated with CABG.
Improving the quality of CABG surgery
Improving CABG quality has important implications not only for clinical outcomes but for hospital reimbursement, patient satisfaction and cardiac surgeon reputation. Reducing postoperative complications is essential to meet evolving quality standards. Discover proven methods to improve outcomes for high risk CABG patients.
What drives a cardiac surgeon
Being a cardiac surgeon is a fantastic job; it's all about saving lives and helping critically ill patients. But cardiac surgeons cannot keep hearts beating on their own; the teamwork in the OR is of greatest importance. When it comes to saving lives, we all work together as one.
Getinge at the heart of the CABG patient
For more than 50 years, coronary artery bypass graft (CABG) surgery has been the standard of care for revascularization of patients with coronary artery disease.
Today’s CABG patient has a higher risk profile due to multiple co-morbidities, which contributes to an increase in surgical complexity, perioperative complications and cost. These patients present new challenges and have specific resource requirements, from pre-operative stabilization to intra-operative treatment and post-operative recovery.
For more than 40 years, we have shared the goal of improving your cardiac surgery service. Discover how Getinge innovations can help you enhance patient care, reduce operational costs and contribute to a positive patient experience.
Ensuring pre-operative stabilization
Evidence-based medicine suggests that preemptive clinical protocols, which include advanced patient monitoring and a myocardial protective strategy, may help avoid procedural complications and shorten overall length of stay., 
Advanced Patient Monitoring
Preemptive hemodynamic optimization can help avoid intra- and post-operative complications before a patient becomes critical. Our tools guide you to define the best individual treatment for patients with challenging hemodynamics conditions.
In the presence of ongoing ischemia or left ventricular dysfunction, pre-operative IABP counterpulsation therapy can provide myocardial protection by reducing perioperative myocardial ischemia, stabilizing hemodynamics and improving coronary perfusion.
The benefits of pre-operative IABP counterpulsation for high risk CABG patients
In this webinar, Dr. Joseph L. Thomas presents his expert opinion, the physiologic basis for pre-operative IABP counterpulsation and the existing clinical data in support of this treatment strategy.
Enabling intra-operative treatment
Approximately 33% of patients experience at least one complication following CABG surgery, of which nearly 40% of these patients suffer one or more major morbidities.
Today’s high-risk patient requires innovative therapies and devices to minimize the risk of post-op complications. Whether it is the delivery of anesthesia, beating heart surgery or supporting a failing heart, using the right tool can help reduce complications, ventilation time and hospital costs.
Beating Heart Surgery
Off-pump coronary artery bypass (OPCAB) reduces patient morbidity and mortality, decreases the incidence of acute renal failure, reduces transfusions, improves post-surgery neurological outcomes, decreases postoperative stroke risk, and shortens recovery times as an alternative to on-pump surgery.
Endoscopic Vessel Harvesting
Endoscopic vessel harvesting (EVH) is at the forefront of technological advances that improve vessel harvesting for coronary artery bypass graft (CABG) surgery. The EVH procedure uses a smaller incision to obtain a bypass conduit for CABG than traditional vessel harvesting procedures, leading to faster recovery, better clinical outcomes, and enhanced patient satisfaction.
Perfusion systems are a standard part of intra-operative care. Our devices have been used successfully for millions of cardiopulmonary bypass procedures worldwide.
Supporting post-operative recovery
Fortunately, there are advanced technologies that can facilitate successful management of these complications. Using the right tool can help patients recover faster through goal-directed therapy with the advanced patient monitoring systems, a variety of mechanical circulatory support devices, or protective ventilation strategies.
Advanced Patient Monitoring
Avoid intra- and post-operative complications with perioperative hemodynamic optimization — before a patient becomes critical. Our tools guide you to define the best individual treatment for patients with challenging hemodynamics conditions.
Mechanical Circulatory Support
Ensure personalized support for patients with hemodynamic instability. Our solutions offer the option to deliver partial to full level support of the heart and/or lungs.
Conventional methods of ventilation have limitations, and sometimes do not meet the specific respiratory needs of patients. With personalized ventilation, the ventilator may help you wean earlier with increased comfort, decreased sedation and reduced complications., , 
Getinge solutions along the clinical pathway
In everything that we do, we consider the complexity of hospitals‘ needs, and the value of over-arching support along the complete in-hospital clinical pathway.
Our products for CABG surgery serve crucial steps along the pathway of treatment and recovery, particularly for your highest-risk patients. Our solutions make us the preferred Medtech partner to help improve efficiency and outcomes for CABG procedures.
1. European Heart Journal, Volume 34, Issue 37, 1 October 2013, Pages 2862–2872
2. Cost of Individual complications following coronary artery bypass grafting. J Thorac Cardiovasc Sug 2018;155:875-82.
3. Data on file
4. High Risk CABG Patients: Incidence, Surgical Strategies and Results: Ann Thorac Surg 2004;77:574–80
5. Results of the STS Adult Cardiac Surgery Online Risk Calculator. Accessed 9 August 2018.
6. Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis British Journal of Anaesthesia 110 (4): 510–17 (2013)
7. Preoperative intra-aortic balloon pump use in high-risk patients prior to coronary artery bypass graft surgery decreases the risk for morbidity and mortality—A meta-analysis of 9,212 patients. J Card Surg. 2017;32:177–185
8. Carlos Ferrando, Marina Soro, and Francisco J. Belda.
Protection strategies during cardiopulmonary bypass: ventilation, anesthetics and oxygen. Curr Opin Anesthesiol 2015, 28:73–80
9. The Future of OPCAB. J Thorac Dis 2016;8(Suppl 10):S832-S838
10. Low Cardiac Output Syndrome After Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia 31 (2017) 291–308
11. Mechanical Ventilation: Conventional & Non-Conventional.
12. Kim et al. Diaphragm dysfunction (DD) assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30.
13. Heunks L, Ottenheijm C. Diaphragm Protective Mechanical Ventilation to Improve Outcome in ICU Patients? Am J Respir Crit Care Med. 2017
14. De la Oliva P, et al. Asynchrony, neural drive, ventilatory variability and comfort: NAVA versus pressure support in pediatric patients. Intensive Care Med. 2012 May;38(5):838-46.