Archives

thumbnail
0 comment

Topical use of tranexamic acid for antifibrinolysis in cardiac surgery with cardiopulmonary bypass: a randomized clinical study

Abstract Objective To assess the non-inferiority of topical intrapericardial tranexamic acid (TXA) versus intravenous TXA for efficacy and safety in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Methods In..

Read More
thumbnail
0 comment

Early oxygenator failure during cardiopulmonary bypass with preserved neurological outcome: a case report

Abstract Background Oxygenator failure during cardiopulmonary bypass (CPB) is a rare but potentially catastrophic intraoperative event that can result in sudden hypoxemia and neurological injury if not promptly recognized and..

Read More
thumbnail
0 comment

Effectiveness of sodium bicarbonate Ringer’s solution as a priming fluid for cardiopulmonary bypass: a propensity score matching study

Abstract Purpose This study aimed to evaluate the clinical effects of sodium bicarbonate Ringer’s solution(BRS) as a priming fluid for cardiopulmonary bypass (CPB). Methods A total of 159 patients undergoing..

Read More
thumbnail
0 comment

A Systematic Review of How Cardiopulmonary Bypass Parameters Influence Electroencephalogram Signals

Abstract Background: Cardiopulmonary bypass (CPB) is an essential technique for cardiac surgery but significantly increases the risk of perioperative neurological complications. Electroencephalography (EEG) enables real-time monitoring of brain function and..

Read More
thumbnail
0 comment

Hypobaric type oxygenators during cardiopulmonary bypass for cardiac surgery to reduce gaseous microemboli: A randomized controlled trial

Abstract Objectives Neurological complications after cardiac surgery have been associated with gaseous microemboli generated during cardiopulmonary bypass. We undertook a trial to assess whether a novel dual-chamber oxygenator, designed to..

Read More
thumbnail
0 comment

Cardiopulmonary bypass time, intraoperative hematocrit and transfusion predict neurocognitive decline in patients undergoing cardiac surgery

Abstract Background Neurocognitive decline (NCD) after cardiopulmonary bypass is a well-established phenomenon. While numerous preoperative risk factors have been identified, the influence of intraoperative factors on NCD still needs further..

Read More
thumbnail
0 comment

The Effect of ABO Blood Groups and Rhesus Factor on Cardiac Surgery Performed with Cardiopulmonary Bypass

Abstract In cardiac surgery operations with cardiopulmonary bypass (CPB), patients are connected to a heart-lung machine and the patient's blood comes into contact with nonphysiological extracorporeal circulation equipment. Aims: In..

Read More
thumbnail
0 comment

Modified Extracorporeal Circulation (mECC) for enhanced blood conservation in thoracoabdominal aortic surgery: A single-center experience

Abstract Background Thoracoabdominal aortic aneurysm (TAAA) repair is associated with significant risks of blood loss and organ ischemia. This study evaluates the efficacy of a novel, modified Extracorporeal Circulation (mECC)..

Read More
thumbnail
0 comment

Goal-directed perfusion during cardiopulmonary bypass: Physiological rationale, clinical evidence, and critical appraisal

Abstract Objectives Cardiopulmonary bypass (CPB) is essential to cardiac surgery but is associated with organ injury from non-physiological perfusion. Goal-directed perfusion (GDP) has emerged as a physiology-based strategy to optimize..

Read More
thumbnail
0 comment

Uncontrolled hypertension contributes to vascular permeability after cardioplegic arrest and cardiopulmonary bypass

Abstract Objective Vasoplegia and endothelial dysfunction are well-known complications of cardioplegia and cardiopulmonary bypass (CP/CPB). Our lab has previously shown that endothelial adherens junction impairment is driven by vascular endothelial..

Read More
thumbnail
0 comment

Perioperative multivariate analysis and risk prediction of acute kidney injury after cardiac surgery: Based on dynamic temperature changes during cardiopulmonary…

Abstract Background Temperature variations during  (CPB) may significantly contribute to the development and progression of  (AKI) after cardiac surgery. We tested the hypothesis that temperature time-series variables during CPB are associated with..

Read More
thumbnail
0 comment

Association Between Ionized Calcium Concentrations During Weaning From Cardiopulmonary Bypass and Postoperative Low Cardiac Output Syndrome: A Retrospective Cohort Study

Abstract BACKGROUND:  Weaning from cardiopulmonary bypass (CPB) is a critical step in cardiovascular surgery. Although ionized calcium (iCa) plays a crucial role in myocardial contractility, and hypocalcemia commonly occurs during..

Read More
thumbnail
0 comment

Oxygenator oxygen transfer performance during cardiopulmonary bypass of the Sorin® Inspire 6F©

Abstract Background Oxygenator oxygen transfer performance is typically measured by manufacturers under standardized, static laboratory conditions. However, these parameters do not adequately reflect the dynamic environment of clinical cardiopulmonary bypass..

Read More
thumbnail
0 comment

Radical Pericardiectomy and Use of Cardiopulmonary Bypass for Constrictive Pericarditis

Abstract Background Pericardiectomy is a definitive treatment for constrictive pericarditis. However, the extent of resection and cardiopulmonary bypass (CPB) use remain debated. We therefore compared hemodynamic changes, complications, long-term survival,..

Read More
thumbnail
0 comment

Managing Serum Lactate During Cardiopulmonary Bypass.

Serum lactate is a critical biomarker in cardiac surgery, offering insights into tissue oxygenation and metabolic status. Elevated lactate levels during cardiopulmonary bypass (CPB) can indicate inadequate perfusion, hypoxia, or..

Read More
thumbnail
0 comment

The effect of surgical field suction flow rate and venous reservoir levels on gaseous microemboli transmission

Abstract Background: Minimizing Gaseous microemboli (GME) introduced into the CPB circuit can help alleviate neurologic injury. This study focuses on understanding how suction flow rate and the reservoir level can..

Read More
thumbnail
0 comment

Is continuous in-line blood gas monitoring reliable during cardiopulmonary bypass when PaO2 and PaCO2 are calculated rather than measured?

Abstract Background: The accuracy and precision of continuous in-line blood gas monitoring (CILBGM) are crucial for optimal blood gas management during cardiopulmonary bypass (CPB) and improved patient outcomes. CILBGM devices,..

Read More
thumbnail
0 comment

Evaluating the Impact of a Standardized Protocol for Managing Refractory Vasoplegia After Cardiopulmonary Bypass

Abstract Objectives This study aimed to evaluate the hemodynamic impact and cost-effectiveness of a standardized protocol for refractory vasoplegia occurring after cardiopulmonary bypass (CPB). Design Observational, pre-post study. Setting A..

Read More
thumbnail
0 comment

Delta perfusion rate predicts the development of adverse outcome in cardiopulmonary bypass patients

Abstract Introduction: Despite the advances in CPB, various complications may occur. Prediction and anticipation of these undesirable outcomes is of great importance. For this reason, various markers have been tried to..

Read More
thumbnail
0 comment

Myocardial Protection with Cardioplegia in Cardiac Surgery: Optimizing Where We Are Now and Setting Goals for Where We Could Go…

Abstract The administration of cardioplegia is a core component of the multimodal approach to myocardial protection during cardiac surgery with cardiopulmonary bypass., An ideal cardioplegia solution should facilitate rapid cardiac arrest,..

Read More
thumbnail
0 comment

The effect of cardiopulmonary bypass prime solution volume on blood transfusion: how do perfusionists manage fluid and what is the…

Abstract Introduction: During cardiopulmonary bypass (CPB), adequate prime solution allows pre-treatment of the tubing line, oxygenator and blood pump, evacuation of air from the arterial conduit, and appropriate blood dilution. However,..

Read More
thumbnail
0 comment

A Prospective Observational Study on Role of Intraoperative Renal A Prospective Observational Study on Role of Intraoperative Renal & Muscle…

Abstract Objective Near Infra-Red Spectroscopy (NIRS), can be used to monitor renal tissue oxygenation (SrO2), as well as thenar muscle oxygenation (SmO2). In this study, we have examined the ability of..

Read More
thumbnail
0 comment

The effect of cardiopulmonary bypass on platelet distribution width, red cell distribution width – standard deviation, and platelet large cell…

Abstract Introduction: In patients undergoing cardiopulmonary bypass-guided cardiac surgery, knowledge of the preoperative effects of platelet distribution width (PDW), red cell distribution width - standard deviation (RDW-SD), and platelet large cell..

Read More
thumbnail
0 comment

A comparative study of the effect of slow and rapid initiation of cardiopulmonary pump on tissue oxygenation index and ischemic…

Abstract Introduction: Although the use of the heart-lung machine (HLM) is routine in cardiac operating theaters, there is still a lack of evidence-based guidelines concerning the optimal speed to reach..

Read More
thumbnail
0 comment

Initiating Cardiopulmonary Bypass Using a Dry Venous Line: Implications and Analysis

Abstract Cardiopulmonary bypass (CPB) is an essential component of modern cardiac surgery, allowing surgeons to temporarily replace heart and lung function during complex procedures. One important technical aspect of CPB..

Read More
thumbnail
0 comment

Post-operative oxygen delivery and delirium after cardiac surgery with cardiopulmonary bypass: A multisite retrospective cohort study of 1,690 patients

Abstract Introduction Delirium is a common, distressing, and dangerous complication after cardiac surgery with cardiopulmonary bypass (CPB) with few modifiable risk factors. This study aims to determine the association between..

Read More
thumbnail
0 comment

Benefits of nitric oxide administration during cardiopulmonary bypass on postoperative outcomes in adult patients: a meta-analysis and systematic review

Abstract Background Nitric oxide (NO) is reported to play several protective roles in the inflammatory response and ischemia/reperfusion injury. This study evaluated the effect of nitric oxide (NO) on postoperative..

Read More
thumbnail
0 comment

Endothelin-1 and Vasomotor Tone Following Cardioplegic Ischemia/Reperfusion and Cardiopulmonary Bypass

Abstract Endothelin-1 is a potent regulator of vasomotor tone and promotes endothelium-dependent vasoconstriction of vascular smooth muscle. Dysregulated vasomotor tone is a hallmark of microvascular pathology following cardiac surgery involving..

Read More
thumbnail
0 comment

Utilization of Cardiopulmonary Bypass in Trauma Patients: A Multi-Institutional Study of the American Association for the Surgery of Trauma

Abstract Background The purpose of this descriptive study was to characterize the utilization and outcomes of CPB after trauma. Methods This is an AAST-sponsored retrospective (2011-2021) multicenter (32 centers) study..

Read More
thumbnail
0 comment

The Impact of Cardiopulmonary Bypass on the Structure and Mechanics of Red Blood Cells: Pilot Study

Abstract Background/Objectives: Cardiopulmonary bypass (CPB) facilitates complex cardiac surgery but can damage erythrocyte membranes, impairing microcirculation and oxygen transport. Standard rheological tests assess overall blood properties but fail to define..

Read More