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Weaning from Cardiopulmonary Bypass, Decannulation, and Closure
Although thoracotomy or newer, less-invasive options such as peripheral cannulation are being used more frequently for minimally invasive cardiac surgery, surgical access through a median sternotomy and central cannulation remain the cornerstones of cardiac surgery and residency training. It is of utmost importance to wean the patient properly from cardiopulmonary bypass (CPB). This video tutorial discusses weaning the patient from CPB, decannulation, and closure of the sternotomy, and describes the safeguards and pitfalls of weaning from CPB.
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Acute Isotonic Hyponatremia After Single Dose Histidine-Tryptophan-Ketoglutarate Cardioplegia: An Observational Study
Administration of histidine-tryptophan-ketoglutarate cardioplegia during cardiac surgery leads to acute moderate to severe isotonic hyponatremia, which resolves spontaneously in the first 18 hours perioperatively. Correction with hypertonic saline is not necessary.
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Current Ultrafiltration Techniques Before, During and After Pediatric Cardiopulmonary Bypass Procedures
The present review attempts to restate these ultrafiltration circuitries, application methods, end-points, and clinical impacts.
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