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The Evolving Role of the Modern Perfusionist: Insights from Transesophageal Echocardiography
Transesophageal echocardiography may serve the clinical perfusionist by providing imaging guidance for identifying potential problems before cardiopulmonary bypass, guiding the proper placement of cannulas, monitoring cardiac performance on cardiopulmonary bypass, and providing useful feedback during weaning from cardiopulmonary bypass.
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The Long-Term Effects of Developing Renal Failure Post-Coronary Artery Bypass Surgery, in Patients with Normal Preoperative Renal Function
Despite being a biochemically reversible process, the development of renal risk, injury and failure as defined by the RIFLE criteria post-cardiac surgery in patients with a normal preoperative renal function is associated with a significantly worse long-term outcome.
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Perfusion Approaches to Blood Conservation
There are several perfusion techniques that can contribute to blood conservation. Minimizing existing circuit components, using mini-circuits and the maneuver of retrograde autologous priming can be considered steps in prime reduction.
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