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Homemade Salvage Setup for a Catastrophic Heater/Cooler Failure on Cardiopulmonary Bypass.体外循环中用于应对灾难性热交换器故障的自制挽救装置
J Extra Corpor Technol. 2019 Sep;51(3):169-171.
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The Society of Thoracic Surgeons, The Society of Cardiovascular Anesthesiologists, and The American Society of ExtraCorporeal Technology: Clinical Practice Guidelines for Cardiopulmonary Bypass--Temperature Management during Cardiopulmonary Bypass.胸外科医师协会、心血管麻醉医师协会和美国体外技术协会:体外循环临床实践指南——体外循环期间的体温管理。
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Report from AmSECT's International Consortium for Evidence-Based Perfusion: American Society of Extracorporeal Technology Standards and Guidelines for Perfusion Practice: 2013.美国体外循环技术协会循证灌注国际联盟报告:美国体外循环技术学会灌注实践标准与指南:2013年版。
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A retrospective study on perfusion incidents and safety devices.一项关于灌注事件及安全装置的回顾性研究。
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体外循环中用于应对灾难性热交换器故障的自制挽救装置

Homemade Salvage Setup for a Catastrophic Heater/Cooler Failure on Cardiopulmonary Bypass.

作者信息

Rajanbabu Balram Babu, Dhandapani Kalaimani

机构信息

Department of Paediatric Cardiac Surgery, Apollo Hospitals, Hyderabad, India; and.

Department of Clinical Perfusion, Narayana Hrudayalaya Institute of Cardiac Sciences, Bangalore, India.

出版信息

J Extra Corpor Technol. 2019 Sep;51(3):169-171.

PMID:31548740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6749159/
Abstract

Perfusion-related problems are still reported at incidence, varying from .72 to 2.86%, and add to the morbidity and mortality of cardiac surgery. Awareness of such problems and establishing protocols to avoid and manage them is a key factor in further improving patient outcomes. In this report, we describe a homemade setup which was used as a desperate salvage measure to rewarm a 1-year-old baby on cardiopulmonary bypass for intracardiac repair, who was inadvertently cooled to 24°C because of a malfunctioning heater/cooler machine.

摘要

仍有关于灌注相关问题的发生率报告,范围从0.72%至2.86%不等,这些问题增加了心脏手术的发病率和死亡率。意识到这些问题并制定避免和处理这些问题的方案是进一步改善患者预后的关键因素。在本报告中,我们描述了一种自制装置,该装置被用作一种绝望的挽救措施,用于在体外循环下心内修复手术中为一名1岁婴儿复温,该婴儿因加热器/冷却器机器故障意外被冷却至24°C。