Abstract
Cardiopulmonary bypass (CPB) began as a groundbreaking but unpredictable adjunct to cardiac surgery that often resulted in additional trauma to already debilitated patients. Over the last 40 years, it has evolved into an indispensable and efficient process with a reliability that often exceeds 99.9%. This remarkable evolution is evidenced by the fact that hundreds of patients can now undergo operations without major mishaps caused by CPB. In the early 1980s, at Emory University, coronary artery bypass patients with single- and double-vessel disease were reviewed, using three of the criteria from the Coronary Artery Surgery Study (CASS): age ≤65, ejection fraction > 35%, and no history of congestive heart failure. Over 1300 such patients were identified who had undergone operations in the previous 5 years. In this series of routine coronary bypass patients, only one death had occurred, a 0.07% mortality.1 This is a remarkable accomplishment for perfusion technology.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Arcidi JM Jr, Powelson SW, King SB, et al. Trends in invasive treatment of single-vessel and double-vessel coronary disease. J Thorac Cardiovasc Surg1988; 95: 773–781.
Crane TN, Keen WR Jr, Spiller CE, et al. A prebypass checklist–Why aren’t you using one? Proc Am Acad Cardiovasc Perf1986; 7: 98–100.
Hill AG, Groom RC, Aid BF, et al. 1990 pediatric perfusion survey II: expanded multivariate data analysis. Proc Am Acad Cardiovasc Perf 1991; 12: 96–102.
Webster JG, ed. Medical Instrumentation Application and Design. New York: Houghton-Mifflin Co; 1978: 73–79.
Webster JG, ed. Medical Instrumentation Application and Design. New York: Houghton-Mifflin Co; 1978: 70–73.
Vinansky RP, Hill AG, Groom RC, et al. Pressure measurement and safety with a self-contained device. Proc Am Acad Cardiovasc Perf1986; 7: 101–104.
American Bentley. In–vitro, ex–vivo and in–vivo performance characteristics of the Bentley® BOS–CM40 and BOSCM50 capillary fiber membrane oxygenators. Irvine, Calif: American Bentley; 1984 (PN Q83280–184–3PG).
Justison GA, Lewis HD, Hamilton DG, et al. A comparison of a heparin-coated and a non-coated ECC arterial line blood filter. JExtracorp Tech 1986; 18: 55–60.
Pfaender LM. Hemodynamics in the extracorporeal aortic cannula: review of factors affecting choice of the appropriate size. J Extracorp Tech 1981; 13: 224–232.
Grover FL, Fewel JG, Ghidoni JJ, et al. Comparison of roller pump versus pressurized bag administration of potassium cardioplegia solution. Ann Thorac Surg1982; 34: 278–287.
Webster JG, ed. Medical Instrumentation Application and Design. New York: Houghton-Mifflin Co; 1978:86,93–94.
Lautier A, Gaillard D, Juvin AM, et al. Monitoring of blood gases during extracorporeal circulation with an artificial lung. Int JArtif Organs1990; 13: 117–124.
Meyerhoff ME. New in vitro analytical approaches for clinical chemistry measurements in critical care. Clin Chem1990; 36: 1557–1572.
Mansouri S, Mitsuhashi A. A new blood gas and electrolyte analyzer for point-of-care use. Presented at the 13th International Symposium on Methodology and Clinical Applications of Blood Gases, pH, Electrolytes and Sensor Technology; October 6–9, 1991; Hakone, Japan.
Kurusz M, Conti VR, Arens JF, et al. Perfusion accident survey. Proc Am Acad Cardiovasc Perf1986; 7: 57–65.
Kurusz M, Faulkner SC. Follow-up comments from the 1985 perfusion accident survey. Proc Am Acad Cardiovasc Perf1987; 8: 210–212.
Vivian WA, Stander KH, Smith RG. An air embolism detection device for use with a non-occlusive arterial pump head. J Extracorp Tech1987; 19: 406–407.
Lewis GS, Czaplicka C. In vitro comparison tests of three LV vent valves. J Extracorp Tech1990; 22: 125–131.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Davis, R.B., Kauffman, J.N., Cobbs, T.L., Mick, S.L. (1995). Assembling and Monitoring the Extracorporeal Circuit. In: Mora, C.T., Guyton, R.A., Finlayson, D.C., Rigatti, R.L. (eds) Cardiopulmonary Bypass. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2484-6_13
Download citation
DOI: https://doi.org/10.1007/978-1-4612-2484-6_13
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7557-2
Online ISBN: 978-1-4612-2484-6
eBook Packages: Springer Book Archive