World journal for pediatric & congenital heart surgery
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World J Pediatr Congenit Heart Surg · Sep 2018
ReviewA Review of Goal-Directed Cardiopulmonary Bypass Management in Pediatric Cardiac Surgery.
Cardiopulmonary bypass perfusion management significantly affects postoperative outcomes. In recent years, the principles of goal-directed therapy have been applied to the field of cardiothoracic surgery to improve patient outcomes. ⋯ These parameters have been shown to influence postoperative fresh frozen plasma transfusion rate, coagulation state, end-organ perfusion, and mortality. In this review, we discuss the recent paradigm shift in pediatric perfusion management toward goal-directed perfusion.