Introduction to Cardiopulmonary Bypass - TSDA

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Hypothermia• Reduces metabolism and oxygen demand• Allows less blood trauma• Myocardial protection• Systemic organ protection• Provides a margin of safety in the event ofequipment failure
Hypothermia• TypesAcceptable Circ. Arrest• Mild 37° - 32°C < 5 min 32°• Moderate 32° - 28° < 20 min 28 °• Deep 28 ° - 18 ° < 45 min 18 °• Profound < 18 ° < 60 min
Page 5 and 6: Why CPB• To facilitate a surgical
Page 8: Extracorporeal Circuit• An artifi
Page 12 and 13: Arterial Tubing• Velocities less
Page 14 and 15: Reservoir• Allow for large fluids
Page 20 and 21: Arterial Blood Pump• Roller• Ce
Page 22 and 23: Arterial Blood Pump• Roller• Ce
Page 24 and 25: Oxygenator• Artificial Lung• Mi
Page 26 and 27: Oxygenator• Artificial Lung• Mi
Page 28 and 29: Heat Exchanger• Stainless steel,a
Page 34 and 35: Cardioplegia• Provides myocardial
Page 36 and 37: Safety• Checklist• Clear three-
Page 38 and 39: HemodynamicsOn CPB, the heartselect
Page 40 and 41: Hemodilution• Decreased viscosity
Page 44 and 45: Hypothermia• Outgassing• Occurs
Page 46 and 47: Blood Gas Strategies• Alpha stat
Page 48 and 49: • HeparinStep One for CPB
Page 50 and 51: Steps for Initiating CPB• Cardiac
Page 52 and 53: Initiating CPB• Aortic Cannulatio
Page 54 and 55: Initiating CPB• Venous Cannualtio
Page 56 and 57: Step Six for CPB• Release cross-c
Page 58 and 59: Weaning from CPB• Check list befo
Page 60 and 61: Emergencies in CPB• Massive Air E
Page 62 and 63: Aortic Dissection- Cannula induced
Page 64 and 65: Clotted Oxygenator• Decreasing Pa
Page 66 and 67: Inadequate CPB Flow• Directly pro

Introduction to Cardiopulmonary Bypass - TSDA

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