Roberts Alex, Duncan Elizabeth C, Hargrave Paul, Kingery David Redding, Barnes Josh, Horstemeyer Derek L, Stahl Russell F
Grand Strand Regional Medical Center, Myrtle Beach, SC.
HCA Healthc J Med. 2023 Feb 28;4(1):13-21. doi: 10.36518/2689-0216.1525. eCollection 2023.
Description Cardiopulmonary bypass (CPB) is frequently used for open heart surgery and other procedures that utilize temporary substitution or support of heart and lung function. While it is widely accepted as the predominant method to carry out these procedures, it is not without possible complications. CPB can be seen as the ultimate "team sport" as it includes and is dependent on contributions from multiple professionals including anesthesiologists, cardiothoracic surgeons, and perfusion technicians. In this clinical review paper, we examine possible complications of CPB, primarily from the perspective of the anesthesiologist, and how to troubleshoot them if they arise, which often requires the involvement of other essential team members.
体外循环(CPB)常用于心脏直视手术及其他需要临时替代或支持心肺功能的手术。虽然它被广泛认为是进行这些手术的主要方法,但并非没有可能的并发症。体外循环可被视为终极的“团队运动”,因为它涉及并依赖包括麻醉医生、心胸外科医生和灌注技师在内的多个专业人员的协作。在这篇临床综述论文中,我们主要从麻醉医生的角度审视体外循环可能出现的并发症,以及如果出现这些并发症如何进行故障排除,而这通常需要其他重要团队成员的参与。