¿En Cuba? No, en la India tercermundista.

A corazón abierto y despierto
Eyes Wide Open

Patient Has Open-Heart Surgery
While He is Awake

Sabtu,
13 Februari 2010 | 07:18 WIB







Swaroup Anand, 23, was awake during cardiac surgery performed at
the Bangalore Fortis Hospital, in India. His surgeon said keeping the
patient conscious had a number of medical benefits






By Claire BatesKOMPAS.com
- The patient stares out at the camera, his fragile heart exposed
during life-saving surgery. The astonishing picture of Swaroup Anand
shows just how far open-heart surgery has come in the last decade.The
23-year-old went under the knife in Bangalore at Wockhardt Hospital
while he was still very much awake. Doctors chose to numb his body with
an epidural to the neck rather than send him to sleep with general
anaesthesia.Lead surgeon Dr Vivek Jawali, said they had performed
more than 600 operations this way since 1999. Speaking from his
hospital in India, he told the MailOnline:'There has
been a huge effort in recent times to make heart surgery less invasive.
This can be done in two ways. Firstly smaller cuts can be made and this
is helped with modern technology and robotics.'Secondly we are
trying to interfere as little as possible with the body's natural
functions.'The patients are given a mild sedative rather than
being knocked out - this drops their heart rate but means they can
respond to commands.'The patients are drowsy so they can be
aroused but are also able to drift into sleep,' Dr Jawali said.'If
we need them to cough or breathe more deeply to clear air from their
heart they can respond. This makes the procedure a lot easier to
perform.'As the patient is awake the doctors also have a better
idea of how the body is reacting to the surgery from their respiratory
system to their brain function.Dr Jawali added that patients did
not report feeling afraid during the operation.'We give them
headphones so they can listen to their favourite music,' he said.'After
the operation we find they have selective amnesia. They can remember
parts of the operation but in a patchy manner.'The surgeon said
performing coronary bypasses on conscious patients also reduced mucas in
those with poor lungs, kept their blood vessels dilated and better
preserved their organs. Dr Jawali has recently released a DVD giving a
step-by-step guide to the procedure for surgeons at other hospitals.'There
is now a global movement supporting this kind of procedure,' he said.The
first UK heart bypass while the patient was awake was performed at
Harefield Hospital in Middlesex in 2003.

Super, deberian tratar de usar menos anestesia general, en todo tipo de intervencion...bien por los indues!

¿Y qué le operaron?

A el se le partio algo del brazo, hombre o clavicula...no recuerdas la gran caida? donde se despetrenco todo y despues se pasaba la mano por el hombro , la gente decia que se daba cuerda..eso fue antes de lo del intestino y la falta de coco..