Gregory S. Matte

Perfusion for Congenital Heart Surgery

Notes on Cardiopulmonary Bypass for a Complex Patient Population

• Gebundenes Buch

Produktbeschreibung

* Confidently devise a safe and successful 'plan for the pump run' for patients undergoing surgery for congenital heart disease. This practical guide for perfusionists and other members of the cardiac surgical team provides information on the devices, technology and techniques required for successful bypass of patients with congenital heart defects
* A practical, spiral-bound, go-to reference designed to answer the most frequently-posed questions about bypass for CHD, the surgical treatment of which is often complicated
* Focuses on the latest technology and techniques and provides clear, matter-of-fact guidance based on specific diagnoses
* Written by a seasoned perfusionist who is co-chief and educator at one of the world's leading children's hospitals
* Spiral binding allows the book to be laid flat for easy referral in the operating room
* A notes section following each diagnosis enables readers to add institution and/or surgeon-specific information to tailor a bypass plan for each CHD lesion

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Produktdetails

• Verlag: Wiley & Sons
• 1. Auflage
• Seitenzahl: 208
• Erscheinungstermin: 2. Juni 2015
• Englisch
• Abmessung: 286mm x 221mm x 16mm
• Gewicht: 813g
• ISBN-13: 9781118900796
• ISBN-10: 1118900790
• Artikelnr.: 42236113

Autorenporträt

GREGORY S. MATTE Perfusion Clinical Coordinator (Co-Chief) Boston Children's Hospital, Boston, MA, USA

Inhaltsangabe

Foreword
x Preface
xi Acknowledgments
xii 1 Equipment for bypass
1 Oxygenators
1 Arterial line filters
12 Tubing packs
13 Cardioplegia systems
16 The heart-lung machine
17 The heater-cooler system
19 Cannulae
20 2 Priming the bypass circuit
27 Prime constituents
27 Steps for priming
28 3 The bypass plan
33 Communication agreement for case
33 Anticoagulation management
35 Blood gas management
40 Carbon dioxide management
40 Oxygenation strategy
42 Hematocrit management
45 Blood pressure management
47 Temperature management
49 Flow rates
regional perfusion
and hypothermic circulatory arrest
52 Methods of ultrafiltration
55 Before bypass
55 On bypass
55 After bypass
56 SMUF specifications
59 Standard and augmented venous return
60 Standard venous return with gravity siphon drainage
60 Augmented venous return
60 The prebypass checklist
63 The surgical safety checklist for congenital heart surgery
65 4 Typical phases of cardiopulmonary bypass
72 Commencement of bypass
72 Standard support phase of bypass
74 Termination of bypass
76 Post bypass
78 5 Additional notes based on bypass tasks
79 Prebypass
79 Heart-lung machine (HLM)
79 Reoperations
79 Cannulation
79 Transfusion during cannulation
80 On bypass
80 Verification of adequate drainage when caval tapes are used
80 Blood gas management
80 Cardioplegia delivery
81 Planned circulatory arrest
81 Induced ventricular fibrillation
82 Administration of blood products
82 Atrial line placement
82 LV vent placement
83 Bed rotation during bypass
83 6 Bypass considerations based on diagnosis
85 Anomalous coronary arteries
86 Aortic regurgitation/insufficiency
89 Aortic stenosis
91 Aortopulmonary collaterals
93 Aortopulmonary window
95 Atrial septal defect
96 Cardiomyopathy requiring orthotopic heart transplantation
99 Coarctation of the aorta
100 Common atrioventricular canal defect
102 Cor triatriatum
104 Corrected transposition of the great arteries (L-TGA
Levo-TGA
or C-TGA) or congenitally corrected TGA
105 Critical aortic stenosis
107 Double chambered right ventricle
109 Double inlet left ventricle
110 Double outlet left ventricle
111 Double outlet right ventricle
112 Ebstein's anomaly
113 Hypoplastic left heart syndrome
114 Stage 1 (Norwood) procedure
115 Hybrid stage 1 palliation
117 Stage 2 or bidirectional Glenn shunt
117 Fontan procedure (total cavopulmonary anastomosis)
119 Interrupted aortic arch
121 Left superior vena cava
123 Lung transplantation
124 Mitral regurgitation/insufficiency
125 Mitral stenosis
126 Patent ductus arteriosus
127 Pulmonary artery abnormalities
128 Pulmonary atresia
129 Pulmonary atresia with an intact ventricular septum
129 Pulmonary atresia with ventricular septal defect
130 Pulmonary regurgitation/insufficiency
132 Pulmonary stenosis
133 Pulmonary vein stenosis or pulmonary venous obstruction
134 Tetralogy of Fallot
136 Total anomalous pulmonary venous return and partial anomalous pulmonary venous return
138 d-Transposition of the great arteries
140 Tricuspid atresia
142 Tricuspid regurgitation/insufficiency
143 Truncus arteriosus
144 Ventricular septal defect
146 7 Notes on select issues during bypass
148 Blood pressure higher than expected
148 Blood pressure lower than expected
149 Bypass circuit pressure higher than expected
151 Bypass circuit pressure lower than expected
152 Central venous pressure elevated
153 Heat exchange issue (slow cooling or warming)
154 NIRS values lower than expected
155 PaCO2 higher than expected
157 PaCO2 lower than expected
159 PaO2 lower than expected
160 Reservoir volume acutely low
161 8 Notes on select emergency procedures during bypass
163 Arterial pump failure (roller head)
164 Failure to oxygenate
165 Massive air embolization
166 Acute aortic dissection at the initiation of bypass
168 Venous air lock
169 Inadvertent arterial decannulation
170 Inadvertent venous decannulation
171 9 Brief overview of named procedures and terms
172 Alfieri stitch
172 Batista procedure
172 Bentall procedure
172 Bidirectional Glenn shunt
172 Blalock-Hanlon procedure
172 Blalock-Taussig shunt (BTS)
173 Brock procedure
173 Central shunt
173 Cone procedure
173 Cox maze procedure
173 Damus-Kaye-Stansel anastomosis
173 Double switch procedure
173 Fontan procedure
174 Gott shunt
174 Hemi-Fontan procedure
174 Holmes heart
174 Jatene operation
174 Kawasaki disease
174 Kawashima procedure
175 (Diverticulum of) Kommerell
175 Konno procedure
175 LeCompte maneuver
175 LeCompte procedure
175 Manougian procedure
175 Marfan's syndrome
175 Maze procedure
175 Mustard procedure
176 Nicks procedure
176 Nikaidoh procedure
176 Noonan syndrome
176 Norwood operation
176 Pannus
176 Pentalogy of Cantrell
176 Potts shunt
177 Rashkind procedure
177 Rastelli operation
177 Ross procedure
177 Sano shunt
177 Scimitar syndrome
177 Senning operation
177 Shone's complex
178 Takeuchi procedure
178 Taussig-Bing anomaly
178 Trusler repair
178 Van Praagh classification
178 Warden procedure
178 Waterston shunt
178 Williams syndrome
178 Yasui procedure
179 10 Abbreviations for congenital heart surgery
180 11 Recommended reference books
186 12 Comprehensive experience-based equipment selection chart select medications administered during bypass
187 Index
190