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physiology of pediatric cardiopulmonary bypass

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Chapter 15 - Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- By Joseph J Sistino, Timothy J Jones
Edited by Florian Falter, Albert C. Perrino, Jr, Robert A. Baker
Book:

Cardiopulmonary Bypass

Published online:

24 October 2022

Print publication:

10 November 2022, pp 150-155
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Summary

Over the past 40 years, the trend has been to perform more complex, corrective and fewer palliative procedures on younger and smaller patients. Today, more than 50% of pediatric open-heart operations are performed in infants less than one year of age with more than 20% of all pediatric heart procedures performed during the first month of life. The outcomes following surgery for congenital heart disease have improved significantly in recent decades, which is in part due to advances made in our understanding and techniques of cardiopulmonary bypass (CPB).Pediatric perfusionists must have specialized knowledge related to pediatric physiology and congenital heart disease as well as the ability to utilize perfusion circuits adapted to a wide range of patient sizes. Pediatric perfusion cases can sometimes be very long due to the complexity of the cardiac repairs.