EN | TR
E-ISSN: 2980-2679
Cardiopulmonary Bypass Management in Adult Cardiac Surgery
PDF
Cite
Share
Request
Review
VOLUME: 1 ISSUE: 1
P: 1-7
April 2023

Cardiopulmonary Bypass Management in Adult Cardiac Surgery

Turk J Clin Cardiov Perfusion 2023;1(1):1-7
DOI: 10.4274/tjccp.galenos.2023.22931
Sedat Gündöner
1. Bandırma Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Perfüzyon Birimi, Balıkesir, Türkiye
No information available.
No information available
Received Date: 01.03.2023
Accepted Date: 28.03.2023
Publish Date: 25.04.2023
PDF
Cite
Share
Request

ABSTRACT

Cardiopulmonary bypass (CPB) provides a bloodless field for cardiac surgery. The CPB system includes an extracorporeal circuit in which venous blood is emptied into a reservoir, oxygenated in the oxygenator part delivered by a pump, and returned to the body. Teamwork between the surgeon, perfusionist and anesthetist is extremely important for the successful execution of CPB. This article discusses the routine management of CPB in the light of the available literature and evidence.

References

1
Aşgün HF, Kalp ve Damar Cerrahisinde Perioperatif Bakım. 1st ed., Ankara: Orion, 2022.
2
Ismail A, Semien G, Miskolczi SY. Cardiopulmonary Bypass. 2023 Feb 10. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2023.
3
Kunst G, Milojevic M, Boer C, De Somer FMJJ, Gudbjartsson T, van den Goor J, et al. 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery. Br J Anaesth 2019;123(6):713-757.
4
Licker M, Ellenberger C, Sierra J, Kalangos A, Diaper J, Morel D. Cardioprotective effects of acute normovolemic hemodilution in patients undergoing coronary artery bypass surgery. Chest 2005;128(2):838-847.
5
Wahba A, Milojevic M, Boer C, De Somer FMJJ, Gudbjartsson T, van den Goor J, et al. 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery. Eur J Cardiothorac Surg 2020;57(2):210-251.
6
Turra J, Bauer A, Möbius A, Wojdyla J, Eisner C. Kinetics of tissue oxygenation index during fast and slow cardiopulmonary bypass initiation. Perfusion 2023;38(3):574-579.
7
Fischer GW, Levin MA. Vasoplegia during cardiac surgery: current concepts and management. Semin Thorac Cardiovasc Surg 2010;22(2):140-144.
8
Lazar HL, McDonnell M, Chipkin SR, Furnary AP, Engelman RM, Sadhu AR, et al. The Society of Thoracic Surgeons practice guideline series: Blood glucose management during adult cardiac surgery. Ann Thorac Surg 2009;87(2):663-669.
9
Chambers DJ. Polarization and myocardial protection. Curr Opin Cardiol 1999;14(6):495-500.
10
Dagenais F, Pelletier LC, Carrier M. Antegrade/retrograde cardioplegia for valve replacement: a prospective study. Ann Thorac Surg 1999;68(5):1681-1685.
11
Gates RN, Laks H, Drinkwater DC, Pearl JM, Zaragoza AM, Lewis W, et al. Gross and microvascular distribution of retrograde cardioplegia in explanted human hearts. Ann Thorac Surg 1993;56(3):410-416.
12
Radmehr H, Soleimani A, Tatari H, Salehi M. Does combined antegrade-retrograde cardioplegia have any superiority over antegrade cardioplegia? Heart Lung Circ 2008;17(6):475-477.
13
England MR, Gordon G, Salem M, Chernow B. Magnesium administration and dysrhythmias after cardiac surgery. A placebo-controlled, double-blind, randomized trial. JAMA 1992;268(17):2395-2402.