Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Chapter 3 - Monitoring during Cardiopulmonary Bypass
Published online by Cambridge University Press: 24 October 2022
Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Summary
A fundamental area of responsibility for the perfusionist during cardiopulmonary bypass is to monitor, respond to and document heart lung machine parameters as well as physiological variables obtained from the anesthetic monitor and other physiological monitoring devices.This chapter summarizes the monitoring recommendations such as the 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery or the combined recommendations of the Society of Clinical Perfusion Scientists of Great Britain and Ireland for Standards of Monitoring and Safety during CPB and the American Society of ExtraCorporeal Technology Standards and Guidelines for Perfusion Practice and shows how to apply them in daily practice.
Keywords
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- Cardiopulmonary Bypass , pp. 25 - 33Publisher: Cambridge University PressPrint publication year: 2022
References
Suggested Further Reading
Puis, L, Milojevic, M, Boer, C et al. 2019. 2019 EACTS/EACTA/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery. Interact Cardiovasc Thorac Surg. February 1, 2020;30(2):161–202.CrossRefGoogle ScholarPubMed
Recommendations for Standards of Monitoring during Cardiopulmonary Bypass. The Society of Clinical Perfusion Scientists of Great Britain and Ireland, Association of Cardiothoracic Anaesthetists, Society for Cardiothoracic Surgery in Great Britain and Ireland, August 2016.Google Scholar
Report from AmSECT’s International Consortium for Evidence-Based Perfusion: American Society of ExtraCorporeal Technology Standards and Guidelines for Perfusion Practice: 2013. Baker, RA, Bronson, SL, Dickinson, TA et al, on behalf of the International Consortium for Evidence-Based Perfusion for the American Society of ExtraCorporeal Technology. JECT. 2013;45:156–166.CrossRefGoogle Scholar
Engelman, R, Baker, RA, Likosky, DS et al. The Society of Thoracic Surgeons, The Society of Cardiovascular Anesthesiologists, and The American Society of ExtraCorporeal Technology: Clinical practice guidelines for cardiopulmonary bypass – Temperature management during cardiopulmonary bypass. JECT. 2015;47:145–154.CrossRefGoogle Scholar
Shore-Lesserson, L, Baker, RA, Ferraris, V et al. STS/SCA/AmSECT Clinical practice guidelines: Anticoagulation during cardiopulmonary bypass. J Extra Corpor Technol. 2018;50:1–14.CrossRefGoogle ScholarPubMed
Ranucci, M, Johnson, I, Willcox, T et al. Goal-directed perfusion to reduce acute kidney injury: A randomized trial. J Thorac Cardiovasc Surg. November, 2018;156(5):1918–1927.CrossRefGoogle ScholarPubMed
Newland, RF, Baker, RA, Woodman, RJ et al. Australian and New Zealand Collaborative Perfusion Registry. Predictive capacity of oxygen delivery during cardiopulmonary bypass on acute kidney injury. Ann Thorac Surg. June 22, 2019.CrossRefGoogle Scholar
Ottens, J, Tuble, SC, Sanderson, AJ et al. Improving cardiopulmonary bypass: Does continuous blood gas monitoring have a role to play? J Extra Corpor Technol. September, 2010;42(3):191–198.CrossRefGoogle ScholarPubMed