Introduction to Cardiopulmonary Bypass - TSDA

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Clotted Oxygenator• Decreasing PaO 2 with metabolic acidosis– Check O 2 supply/blender– Rule out oxygenator thrombus• Emergency oxygenator change-out may benecessary
Severe Protamine Reaction• Anaphylactic reaction with pulm HTN, edemaand systemic hypotension– 100%O 2 , IV fluids, steroids, antihistamines,vasoconstrictors and bronchodilators– Resume CPB if RV failure, severe pulm edemapresent– Epinephrine, vasopressin via LA line
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 42 and 43: Hypothermia• Reduces metabolism a
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 66 and 67: Inadequate CPB Flow• Directly pro
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Introduction to Cardiopulmonary Bypass - TSDA

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