Cardiopulmonary Bypass Emergencies and Intraoperative

J. Cardiothorac. Vasc. Anesth. · Dec 2022

Review

Cardiopulmonary Bypass Emergencies and Intraoperative Issues.

Cardiopulmonary bypass (CPB) is a complex biomechanical engineering undertaking and an essential component of cardiac surgery. However, similar to all complex bioengineering systems, CPB activities are prone to a variety of safety and biomechanical issues. In this narrative review article, the authors discuss the preventative and intraoperative management strategies for a number of intraoperative CPB emergencies, including cannulation complications (dissection, malposition, gas embolism), CPB equipment issues (heater-cooler failure, oxygenator issues, electrical failure, and tubing rupture), CPB circuit thrombosis, medication issues, awareness during CPB, and CPB issues during transcatheter aortic valve replacement.

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- Neal S Gerstein, Pramod V Panikkath, Aibek E Mirrakhimov, Alexander E Lewis, and Harish Ram.
- Department of Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, NM. Electronic address: ngerstein@gmail.com.
- J. Cardiothorac. Vasc. Anesth. 2022 Dec 1; 36 (12): 450545224505-4522.
AbstractCardiopulmonary bypass (CPB) is a complex biomechanical engineering undertaking and an essential component of cardiac surgery. However, similar to all complex bioengineering systems, CPB activities are prone to a variety of safety and biomechanical issues. In this narrative review article, the authors discuss the preventative and intraoperative management strategies for a number of intraoperative CPB emergencies, including cannulation complications (dissection, malposition, gas embolism), CPB equipment issues (heater-cooler failure, oxygenator issues, electrical failure, and tubing rupture), CPB circuit thrombosis, medication issues, awareness during CPB, and CPB issues during transcatheter aortic valve replacement.Copyright © 2022 Elsevier Inc. All rights reserved.

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Cardiopulmonary Bypass Emergencies and Intraoperative Issues.

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