Multi-Modal Cardiopulmonary Bypass Skills Assessment within a High-Fidelity Simulation Environment
Multimodal assessment using cognitive, technical, and motion analysis of basic CPB tasks using a high-fidelity simulation environment is a valid system to measure performance and discriminate experts from trainees.
Survey of the Routine Practice Limits for Physiologic and Technical Parameters Managed by Clinical Perfusionists during Adult Cardiopulmonary Bypass
We conducted a national survey of clinical practice with the purpose of producing a benchmark of the typical variability of specific technical parameters that are commonly managed during adult CPB procedures.
Development and Accuracy Evaluation of a Degree of Occlusion Visualization System for Roller Pumps Used in Cardiopulmonary Bypass
Our experiments indicated that for areas with a small tube gap, this system can construct highly accurate three-dimensional shapes and obtain quantitative indicators assessing the degree of occlusion.
Oxy-RVAD Support for Lung Transplant in The Absence of Inferior Vena Cava
In this report, we describe a patient with congenital absence of the inferior vena cava undergoing lung transplantation who required perioperative cardiopulmonary support.
Intraoperative Management of a Hybrid Extracorporeal Membrane Oxygenation Circuit for Lung Transplantation
Our novel technique for intraoperative management of this circuit during lung transplantation is described.
Rapid Thrombelastography Predicts Perioperative Massive Blood Transfusion in Patients Undergoing Coronary Artery Bypass Grafting: A Retrospective Study
Preoperative r-TEG activated clotting time can predict the increase of postoperative MBT in patients undergoing CABG. We recommend the careful monitoring of coagulation system with r-TEG, which allows rapid diagnosis of coagulation abnormalities even before the start of surgery.
Oxygen Management During Cardiopulmonary Bypass: A Single-Center, 8-Year Retrospective Cohort Study
The current approach to oxygen management during CPB at the authors’ institution is within the range of hyperoxemic levels, and these practices have not changed over time.
A Mock Circulation Loop to Test Extracorporeal CO2 Elimination Setups
We demonstrate a simple and cost effective, yet powerful, “in-vitro” ECCO2R model that can be used as an alternative to animal experiments for many research scenarios.
Feasibility of Venovenous Extracorporeal Membrane Oxygenation Without Systemic Anticoagulation
Our results suggest that venovenous ECMO can be safely administered without continuous systemic anticoagulation therapy. This approach may be associated with reduced bleeding diathesis and need for blood transfusions.
Physiology of Extracorporeal Gas Exchange
Artificial lungs are mechanical devices in which blood is exposed to oxygen through a gas permeable membrane. Like the normal lung, the amount of gas exchange is controlled by the geometry of the device, the blood flow and composition, and the ventilating gas flow and composition.
Switch from Minimally Invasive Biventricular Mechanical Support to Cardiopulmonary Bypass During Heart Transplant
With this cardiopulmonary bypass configuration, orthotopic heart transplantation was routinely performed and, at the end of the procedure, the 2 cannulas were uneventfully removed.
Relationship of Intraoperative Perfusion Parameters to The Need for Immediate Extracorporeal Support Following Heart Transplantation
We note that DO2 < 300-AOC was significantly associated with the need for postoperative ECMO following heart transplant. Further study will clarify whether potential DO2 differences in patients who require post-OHT ECMO reflect vasoplegia, or a more causative relationship which might be leveraged to improve outcomes.