[What should not to be seen when performing a CPB.]

Ann Fr Anesth Reanim · Apr 2014

Review

[What should not to be seen when performing a CPB.]

Cardiac surgery and cardiopulmonary bypass (CPB) have made significant progress in recent years. Despite these efforts, adverse events continue to occur during surgery. From recent studies of incidents and accidents during CPB, this article focuses on critical recommendations to respect when in charge of a CPB. ⋯ Others have not proven their benefit in terms of postoperative morbidity or mortality. The management of anticoagulation, hematocrit, pump flow, and the temperature is discussed. Finally, the importance of teamwork especially in terms of cohesion and communication is highlighted.

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- J-P Lançon.
- Infirmerie protestante de Lyon, 1, chemin du Penthod, 69300 Caluire, France. Electronic address: jp.lancon@orange.fr.
- Ann Fr Anesth Reanim. 2014 Apr 1;33 Suppl 1:S5-9.
AbstractCardiac surgery and cardiopulmonary bypass (CPB) have made significant progress in recent years. Despite these efforts, adverse events continue to occur during surgery. From recent studies of incidents and accidents during CPB, this article focuses on critical recommendations to respect when in charge of a CPB. Some facts are based only on data unsupported by scientific research. Others have not proven their benefit in terms of postoperative morbidity or mortality. The management of anticoagulation, hematocrit, pump flow, and the temperature is discussed. Finally, the importance of teamwork especially in terms of cohesion and communication is highlighted.Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

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[What should not to be seen when performing a CPB.]

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