Equipment and monitoring for cardiopulmonary bypass
نویسندگان
چکیده
The optimum conditions for cardiothoracic surgery have traditionally been regarded as a “still and bloodless” surgical field. Cardiopulmonary bypass (CPB) provides this by incorporating a pump to substitute for the function of the heart and a gas exchange device, the “oxygenator,” to act as an artificial lung. CPB thus allows the patient’s heart and lungs to be temporarily devoid of circulation, and respiratory and cardiac activity suspended, so that intricate cardiac, vascular or thoracic surgery can be performed in a safe and controlled environment.
منابع مشابه
Impact of Bispectral Index Monitoring Versus Clinical Judgment as a Guide for Conduction of Anesthesia on Serum Cortisol Level in Co-ronary Artery Bypass Graft Surgery
Background: Inadequate depth of anesthesia leads to release of stress hormones. Electroencephalographic monitoring by bispectral index is a guide to asses the depth of anesthesia. The aim of the present study was to measure the serum cortisol levels as an index of stress response in patients who are candidates for coronary artery bypass graft surgery in two groups of patients. Methods: Seventy-...
متن کاملA comparison of laboratory findings in coronary artery bypass surgery with and without cardiopulmonary bypass
Background : Quests for doing coronary artery bypass surgery by a technique with lower complications is going on, for this aim many studies compared patients undergoing CABG with or without cardiopulmonary bypass. This study was carried out to compare laboratory findings after coronary artery bypass in these two groups of patients. Materials and Methods: In a retrospective study, 167 patients ...
متن کاملStandards of care in perfusion: should not continuous in-line blood gas monitoring be one?
What is a standard of care? Who defines standard of care? And when does new technology, such as continuous in-line blood gas monitoring (CILBGM), become a standard of care? Perhaps the most productive and practical way to view standards of care in perfusion is as, "the best perfusion management we can provide for our patients within reason and affordability." Today, CILBGM offers a tangible pat...
متن کاملProblems of Cold Agglutinins in Cardiac Surgery: How to Manage Cardiopulmonary Bypass and Myocardial Protection
Cold agglutinins are of unique relevance in cardiac surgerybecause of the use of hypothermic cardiopulmonary bypass (CPB). Cold autoimmune diseases are defined by the presence of abnormal circulating proteins (usually IgM or IgA antibodies) that agglutinate in response to a decrease in body temperature. These disorders include cryoglobulinemia and cold hemagglutinin disease.Immunoglobulin M aut...
متن کامل