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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

By
Timothy Coulson  and
Florian Falter
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
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.

Type
Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 30 - 44
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

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.Google Scholar
Edelman, JJB, Seco, M, Dunne, B, et al. Custodiol for myocardial protection and preservation: a systematic review. Ann Cardiothorac Surg 2013; 2: 717–28.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. J Cardiothorac Vasc Anesth 2015; 29: 1104–13.CrossRefGoogle Scholar
Ghosh, S, Falter, F, Perrino, AC Jr (eds.). Cardiopulmonary Bypass, 2nd edn. Cambridge: Cambridge University Press; 2015.CrossRefGoogle Scholar
Habertheuer, A, Kocher, A, Laufer, G, et al. Cardioprotection: a review of current practice in global ischemia and future translational perspective. BioMed Res Int 2014; 2014: 1–11.CrossRefGoogle ScholarPubMed
Hausenloy, DJ, Yellon, DM. Ischaemic conditioning and reperfusion injury. Nature 2016; 13: 193–209.Google Scholar
Kunst, G, Klein, AA. Peri-operative anaesthetic myocardial preconditioning and protection: cellular mechanisms and clinical relevance in cardiac anaesthesia. Anaesthesia 2015; 70: 467–82.CrossRefGoogle ScholarPubMed
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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