TITLE

A retrospective study on perfusion incidents and safety devices

AUTHOR(S)
Mejak, B.L.; Stammers, A.; Rauch, E.; Vang, S.; Viessman, T.
PUB. DATE
January 2000
SOURCE
Perfusion;Jan2000, Vol. 15 Issue 1, p51
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Despite the acceptance of extracorporeal circulation as an effective modality to facilitate cardiac surgery, patient outcomes can be negatively influenced by the occurrence of perfusion incidents. A perfusion survey was conducted to identify safety techniques and incidents related to cardiopulmonary bypass (CPB). An 80-question survey was mailed to chief perfusionists of all 1030 USA cardiac surgical centers using CPB. The survey was designed to examine practices and incidents that occurred during a 2-year period (July 1996 to July 1998). Five-hundred-and-fifty-two (54% response rate) surveys were returned, which accounted for 797 hospitals (79% of all cardiac centers) and 653 621 surgical procedures. Of the 27 identified CPB safety devices, the highest utilization was arterial line filters (98.5%) and the lowest arterial line bubble traps (3.4%). Of the reported cases, a CPB incident occurred once every 138 cases. The most common occurring incidents were protamine reactions (1:783), coagulation problems (1:771), and heater/cooler failures (1:1809). The rate of occurrence of an incident resulting in a serious injury or death was one for every 1453 procedures. Although techniques and safety devices create a relatively secure environment for CPB, lower incident rates may be achieved with further improvements in coagulation monitoring and incident reporting.
ACCESSION #
2862844

 

Related Articles

  • Normothermic perfusion and lung function after cardiopulmonary bypass: effects in pulmonary risk patients. Ranucci, M.; Soro, G.; Frigiola, A.; Menicanti, L.; Ditta, A.; Candido, G.; Tambalo, S. // Perfusion;1997, Vol. 12 Issue 5, p309 

    Fifty patients at risk for postoperative lung dysfunction and undergoing elective coronary revascularization have been randomly assigned to receive normothermic (36?C) perfusion with warm heart protection (NP group) or hypothermic (28?C) perfusion with cold heart protection (HP group). Lung...

  • Effects of flow types in cardiopulmonary bypass on gastric intramucosal pH. Hamulu, A.; Atay, Y.; Yagdi, T.; Discigil, B.; Bakalim, T.; Buket, S.; Bilkay, O. // Perfusion;1998, Vol. 13 Issue 2, p135 

    The aim of this study was to determine the relationship between splanchnic perfusion and oxygen consumption, and flow types in cardiopulmonary bypass (CPB), by measuring gastric intramucosal pH. Twenty patients undergoing elective open-heart surgery were prospectively randomized to receive...

  • The selection of priming fluids for cardiopulmonary bypass in the UK and Ireland. Lilley, Angela // Perfusion;Sep2002, Vol. 17 Issue 5, p315 

    The ideal prime for Cardiopulmonary Bypass (CPB) has never been fully established. The development of acid-base disorders during some routine cases and the possible contribution to this from priming fluids caused this hospital to question its protocol. As a result, we conducted a survey of UK...

  • Lessons from perfusion surveys. Kurusz, M. // Perfusion;1997, Vol. 12 Issue 4, p221 

    Examines surveys on perfusion done in the U.S. since 1977. Comparative data on commonly used devices or techniques that have been promoted to make cardiopulmonary bypass safer; Lessons regarding survey research in general.

  • Techniques of paediatric modified ultrafiltration: 1996 survey results. Darling, E.; Nanry, K.; Shearer, I.; Kaemmer, D.; Lawson, S. // Perfusion;1998, Vol. 13 Issue 2, p93 

    In September 1996, perfusionists from 50 paediatric open-heart surgery programmes were contacted to identify centres that are currently using the technique of modified ultrafiltration (MUF). Of the 50 centres contacted, 22 (44%) were utilizing the technique. These centres were surveyed on the...

  • Sydney Abstracts.  // Perfusion;1998, Vol. 13 Issue 2, p83 

    Presents several research abstracts on cardiovascular perfusion. 'Surface Coatings: Is there a Difference?,' by S.B. Horton, C.A. Thuys, E.B. O'Connor, R.J. Mullaly, W. Butt and T.R. Karl; 'Use of Modified Ultrafiltration in Cardiopulmonary Bypass,' by Kevin Menezes, Ravi Swami, K. Jagannath, K....

  • Assessment of Perfusion toward the Aortic Valve. Grooters, Ronald K.; Thieman, Kent C.; Schneider, Robert F.; Nelson, Mark G. // Texas Heart Institute Journal;2000, Vol. 27 Issue 4, p361 

    Presents a study which assessed a technique of perfusion toward the aortic valve during cardiopulmonary bypass. Patients and methods; Results and discussion.

  • Is increased perfusion pressure really necessary during cardiopulmonary bypass? Alhan, Cem H.; Toraman, Fevzi; Karabulut, Hasan // European Journal of Cardio-Thoracic Surgery;May2012, Vol. 41 Issue 5, p1213 

    A letter to the editor is presented in response to the article "Increased systemic perfusion pressure during cardiopulmonary bypass is associated with less early postoperative cognitive dysfunction and delirium" by M. Siepe and colleagues in the 2011 issue.

  • Letter to editor. Grist, G.; Jonas, R.A. // Perfusion;1999, Vol. 14 Issue 5, p403 

    Presents letters to the editor concerning a previous article in this magazine by Dr. Richard A. Jonas concerning pH-stat strategy for pediatric cardiopulmonary bypass, and Jonas' opinion that it is the most optimal hypothermic acid-based strategy. Study of infants undergoing extended...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics