Published with the inputs from Dr Baburajan A K, Cardiovascular Thoracic Surgeon, Baby Memorial Hospitals- Kozhikode
Awake cardiac surgery is an advanced heart surgery technique performed without general anesthesia and without the need for a ventilator. Instead, patients remain conscious under local or regional anesthesia while the surgery is carried out. This approach reduces surgical risks, allows faster recovery, and is particularly beneficial for high-risk patients who may not tolerate general anesthesia.
Awake cardiac surgery is a minimally invasive approach to heart surgery performed while the patient is awake but comfortable under regional anesthesia. Unlike traditional open-heart surgery, it avoids general anesthesia and breathing machines, making it safer for elderly or high-risk patients.
It may be recommended for patients needing bypass surgery, valve repair, or other cardiac procedures who have additional risks such as lung disease, kidney disease, or advanced age. Doctors determine suitability based on heart condition, overall health, and imaging test results.
The procedure is done under regional anesthesia, typically through an epidural or spinal block. Patients remain awake but feel no pain. Surgeons operate using minimally invasive techniques while closely monitoring heart function. Patients are able to breathe naturally without being connected to a ventilator.
Benefits include:
It also provides an option for patients who may not otherwise be candidates for traditional surgery.
As with any heart surgery, risks include bleeding, infection, or irregular heartbeat. Some patients may feel anxious during the procedure, but sedation and reassurance keep them comfortable. Awake techniques are not suitable for all patients, and doctors carefully evaluate each case.
Recovery is usually quicker than with traditional surgery. Many patients can sit up, eat, and move around sooner, and hospital stays are typically shorter. Most people return to light activities within a few weeks, though complete recovery depends on the type of heart surgery performed.
Yes. Studies and clinical experience show that awake cardiac surgery is safe and effective when performed by specialized surgical teams. It is especially beneficial for high-risk patients who may face greater complications from general anesthesia.
If you’ve been advised to undergo heart surgery and want to explore advanced, minimally invasive options, our Cardiac Surgery Team @ Baby Memorial Hospitals specializes in awake cardiac procedures that ensure safety, comfort, and faster recovery.
📞 Call us or book an Appointment Online to learn more about awake cardiac surgery.