Monitoring during Cardiopulmonary Bypass

doi:10.1017/9781009008143.003

Chapter 3 - Monitoring during Cardiopulmonary Bypass

Published online by Cambridge University Press: 24 October 2022

Richard F Newland and

Pascal Starinieri

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

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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

Circuit Pressure Low level Detection Bubble Detection Blood Flow Gas Flow Temperature Monitoring GasExchange Documentation

Type: Chapter
Information: Cardiopulmonary Bypass , pp. 25 - 33

DOI: https://doi.org/10.1017/9781009008143.003 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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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.CrossRef Google Scholar PubMed

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.CrossRef Google 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.CrossRef Google 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.CrossRef Google Scholar PubMed

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.CrossRef Google Scholar PubMed

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.CrossRef Google 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.CrossRef Google Scholar PubMed