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Chapter 7 - Conduct of Cardiopulmonary Bypass

Published online by Cambridge University Press:  24 October 2022

By
Christiana Burt ,
Timothy A Dickinson ,
Narain Moorjani  and
Caitlin Blau
Edited by
Florian Falter ,
Albert C. Perrino, Jr  and
Robert A. Baker
Florian Falter
Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr
Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker
Affiliation:
Flinders Medical Centre, Adelaide
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Summary

The goals of CPB are to provide a still and bloodless field for the surgeon to operate while not damaging the heart muscle.This chapter reviews the conduct of CPB starting with cannulation (arterial and venous), general management of both the mechanical and physiologic aspects of CPB and finishes with a section regarding important aspects of CPB related to minimally invasive cardiac surgery (MICS).It is important that each institution has detailed protocols and procedures for CPB, and many of the points discussed in this chapter will be performed within the construct of these protocols.

Keywords

Arterial CannulationVenous CannulationPatient Connection to CPBInitiating CPBMonitoring during CPBMaintaining a Bloodless Surgical Field
Type
Chapter
Information
Cardiopulmonary Bypass , pp. 57 - 70
Publisher: Cambridge University Press
Print publication year: 2022

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References

Suggested Further Reading

Cheung, AT, Stafford-Smith, M, Heath, M (2019). Cardiopulmonary bypass: Management. In Nussmeier, NA (Ed.), UpToDate. Retrieved September 18, 2019, from www.uptodate.com/contents/cardiopulmonary-bypass-management#H3676286842Google Scholar
Wahba, A, Milojevic, M, Boer, C et al. EACTS/EACTA/EBCP Committee Reviewers. 2019 EACTS/EACTA/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery. Eur J Cardiothorac Surg. October 2, 2019CrossRefGoogle Scholar
Hessel, EA 2nd. What’s new in cardiopulmonary bypass. J Cardiothorac Vasc Anesth. August, 2019;33(8):2296–2326.Google Scholar
Ramchandani, M, Al Jabbari, O, Abu Saleh, WK et al. Cannulation strategies and pitfalls in minimally invasive cardiac surgery. Methodist Debakey Cardiovasc J. January–March, 2016;12(1):10–3.Google Scholar

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