Cardiopulmonary Bypass Circuit Setup and Safety Checks

doi:10.1017/9781009008143.004

Chapter 4 - Cardiopulmonary Bypass Circuit Setup and Safety Checks

Published online by Cambridge University Press: 24 October 2022

Victoria Molyneux and

Shahna Helmick

Edited by

Florian Falter ,

Albert C. Perrino, Jr and

Robert A. Baker

Show author details

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

Book contents

Get access

Summary

The evolution of CPB has been marked on one side by sophistication and complexity and on the other side by an increased requirement for safety. The medical communities in many countries have issued recommendations concerning the training of clinical perfusionists and the use of monitoring and safety devices for CPB. Assembling the cardiopulmonary bypass (CPB) circuit and checking the heart lung machine (HLM) for faults prior to clinical use is an essential and integral part of the provision of clinical perfusion.

Keywords

CPB Setup CPB Priming CPB Checklist;CPB Safety Features

Type: Chapter
Information: Cardiopulmonary Bypass , pp. 34 - 41

DOI: https://doi.org/10.1017/9781009008143.004 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Further Reading

Department of Health. Guide to Good Practice in Clinical Perfusion, London, 2009.Google Scholar

Society of Clinical Perfusion Scientists of Great Britain and Ireland, Association of Cardiothoracic Anaesthetists and Society of Cardiothoracic Surgeons in Great Britain and Ireland. Recommendations for Standards of Monitoring during Cardiopulmonary Bypass. 2016.Google Scholar

National Patient Safety Agency (NPSA). Seven Steps to Patient Safety. An Overview Guide for NHS Staff 2004. www.npsa.nhs.uk/sevensteps Google Scholar

Weigmann, D, Suther, T, Neal, J et al. A human factors analysis of cardiopulmonary bypass machines. Journal of Extracorporeal Technology 2009; 41(2):57–63.CrossRef Google Scholar

Gritten, M. The independent root cause analysis report into the adverse incident that led to the death of a paediatric cardiac surgery patient at United Bristol Healthcare NHS Trust on 27th May 2005. NHS Publication 2007.Google Scholar

NHS England. Decade of improved outcomes for patients thanks to surgical safety checklist 2019 www.england.nhs.uk/2019/01/surgical-safety-checklist/Google Scholar

Clark, SC, Dunning, J, Ottavio, RA et al. EACTS guidelines for the use of patient safety checklists. European Journal of Cardiothoracic Surgery 2012; 41: 993–1004.CrossRef Google Scholar PubMed

Charriere, JM, Pelissie, J, Verd, C et al. Retrospective survey on monitoring/safety devices and incidents of cardiopulmonary bypass for cardiac surgery in France. Journal of ExtraCorporeal Technology 2007; 39:142–57.CrossRef Google Scholar PubMed

Wahba, A, Milojevic, M, Boer, C De et al. EACTS/EACTA/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery. European Journal of Cardiothoracic Surgery 2019; 00: 1–42. https://doi:10.1093/ejcts/ezz267 Google Scholar