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Chapter 5 - Principles of Cardiopulmonary Bypass

from Section 1 - Routine Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

The ideal operating conditions to enable cardiac surgery are a bloodless and motionless field. This requires both cardiac arrest and the drainage of blood from the heart. In order to provide these conditions a separate means of maintaining nutrient supply to the rest of the body is needed. In addition, the heart must be prevented from becoming sufficiently ischaemic as to infarct previously viable muscle.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Anastasiadis, K, Murkin, J, Antonitsis, P, et al. Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal invasive Extra-Corporeal Technologies international Society (MiECTiS). Interact Cardiovasc Thorac Surg 2016; 22: 647–62.CrossRefGoogle Scholar
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Recommendations for Standards of Monitoring and Safety during Cardiopulmonary Bypass Society of Clinical Perfusion Scientists of Great Britain & Ireland Association for Cardiothoracic Anaesthesia and Critical Care Society for Cardiothoracic Surgery in Great Britain & Ireland; 2016. www.scps.org.uk/pdfs/RSM%20and%20Safety%20during%20CPB%20Aug%202016%20booklet.pdf (accessed June 2019).Google Scholar

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