Course Program in MICS
The MBA Course Program me was initially made for experienced surgeons in minimally invasive cardiac surgery. But the wide spectrum of issues that are discussed allows surgeons to begin training at their level of expertise. The issues that are discussed during the course are related to the competence of the applicant.
The course usually consists of 2-5 days “on site” in a hospital. The course offers interactive discussions with the team conducting the procedure and demonstration by live surgery on how the technique can be applied. The module may also include a “hands-on” aspect.
Course program depends on what procedures are booked for the time of course
Cardiopulmonary bypass (CPB)
Choice of cannulas for CPB, cannulation techniques, cannulation sites, role of CT, role of TEE in arterial and venous cannulation, technique of transcutaneous venous CPB cannula insertion, blood-saving technologies.
Methods of cardioplegia in TCRAT and other minimally invasive procedures. Managing complex situations with heart protection.
Techniques of single lung ventilation, bronchial blockers, double lumen endotracheal tubes, bronchoscopy support during lung isolation, managing of complex ventilation problems, ventilation in pediatric minimally invasive cardiac surgery
Endoscopic harvesting of radial artery and veins, LIMA, RIMA harvesting under direct vision.
Multimodal anesthesia, regional blocks (ESP, Pecs1, Pecs2, Serratus anterior plane block)
Surgery - Aortic Valve Replacement
Incision, approaches, exposure maneuvers, venting techniques, drains. Sequences of surgical maneuvers.
Surgery - Mitral Valve Repair / Replacement
Planning of the procedure according to Echo findings, prediction of systolic anterior motion (SAM) risk.
Incision, exposure sutures, instruments. MVR techniques. SAM avoiding strategies.
Surgery - Total Coronary Revascularisation via left Anterior Thoracotomy (TCRAT)
Patient position. Skin incision and muscle-preserving mini- thoracotomy. Retractors and instruments. Decompressing the heart. Cardioplegia set-up. Coronary targets exposure maneuvers. Sequences of anastomoses. Distal anastomotic techniques. Measurements of the conduit length. Aorta exposure maneuvers. Proximal anastomotic techniques. Hemostasis. Drains.
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