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Chapter 2 - Equipment for Cardiopulmonary Bypass

Published online by Cambridge University Press:  24 October 2022

By
Simon Anderson  and
Amanda Crosby
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

Cardiopulmonary bypass (CPB) provides optimum conditions for cardiothoracic surgery by combining a pump to substitute for the function of the heart and a gas exchange device, the “oxygenator,” to act as an artificial lung. CPB therefore allows heart and lungs to be temporarily suspended to facilitate cardiac, vascular or thoracic surgery in a safe, still, bloodless and controlled environment. This chapter provides an overview over the constituent components of a working bypass circuit.

Keywords

TubingRoller PumpsCentrifugal PumpsArterial CannulaeVenous CannulaeOxygenatorsHard-Shell ReservoirGas Supply SystemsFiltersBubble TrapsSuckerVentsCardioplegia Delivery System
Type
Chapter
Information
Cardiopulmonary Bypass , pp. 9 - 24
Publisher: Cambridge University Press
Print publication year: 2022

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References

Suggested Further Reading

Gourlay T. Biomaterial development for cardiopulmonary bypass. Perfusion. 2001 September; 16(5): 381–90.Google Scholar
Kim, WG, Yoon, CJ. Roller pump induced tubing wear of polyvinylchloride and silicone rubber tubing: Phase contrast and scanning electron microscopic studies. Artif Organs. 1998 October; 22(10): 892–897.Google Scholar
Patterson, Rodney F, Silicones. in Handbook of Thermoset Plastics (Second Edition), 1998.CrossRefGoogle Scholar
Cooley, Denton A and Frazier, O H. The Past 50 Years of Cardiovascular Surgery. Circulation. 2000;102: Iv-87–Iv-93 0Google Scholar
Black, S, Bolman, RM III. C. Walton Lillehei and the birth of open heart surgery. J Card Surg 2006; 21: 205–208.CrossRefGoogle ScholarPubMed
Johagen, D, Appelblad, M, Svenmarker, S. Can the oxygenator screen filter reduce gaseous microemboli? The Journal of Extra-corporeal Technology 2014; 46: 60–66.CrossRefGoogle ScholarPubMed
Saczkowski, R, Maklin, M, Mesana, T, Boodhwani, M, Ruel, M. Centrifugal pump and roller pump in adult cardiac surgery: A meta-analysis of randomized controlled trials. Artificial Organs 2012; 36: 668–676.CrossRefGoogle ScholarPubMed
Dickinson, TA, Riley, JB, Crowley, JC, Zabetakis, PM. In vitro evaluation of the air separation ability of four cardiovascular manufacturer extracorporeal circuit designs. Journal of Extra Corporeal Technology 2006; 38: 206–213.CrossRefGoogle ScholarPubMed
Durandy, Y.Vacuum-assisted venous drainage, angel or demon: PRO? Journal of Extra Corporeal Technology 2013; 45: 122–127.CrossRefGoogle ScholarPubMed
Potger, KC, McMillan, D, Ambrose, M. Microbubble generation and transmission of Medtronic’s affinity hardshell venous reservoir and collapsible venous reservoir bag: An in-vitro comparison. Journal of Extra Corporeal Technology 2011; 43: 115–122.Google Scholar

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