ABSTRACT
Cardiopulmonary bypass (CPB) is a complex biomechanical engineering undertaking and an essential component of cardiac surgery. However, similar to all complex bioengineering systems, CPB activities are prone to a variety of safety and biomechanical issues. In this narrative review article, the authors discuss the preventative and intraoperative management strategies for a number of intraoperative CPB emergencies, including cannulation complications (dissection, malposition, gas embolism), CPB equipment issues (heater-cooler failure, oxygenator issues, electrical failure, and tubing rupture), CPB circuit thrombosis, medication issues, awareness during CPB, and CPB issues during transcatheter aortic valve replacement.
Subject(s)
Embolism, Air , Transcatheter Aortic Valve Replacement , Humans , Cardiopulmonary Bypass/adverse effects , Emergencies , Oxygenators , Transcatheter Aortic Valve Replacement/adverse effectsSubject(s)
Arterial Pressure , Radial Artery , Blood Pressure , Cardiac Output , Monitoring, IntraoperativeSubject(s)
Antifibrinolytic Agents/administration & dosage , Antifibrinolytic Agents/adverse effects , Cardiac Surgical Procedures/trends , Postoperative Complications/chemically induced , Blood Loss, Surgical/prevention & control , Cardiac Surgical Procedures/adverse effects , Humans , Orthopedic Procedures/adverse effects , Orthopedic Procedures/trends , Postoperative Complications/blood , Postoperative Complications/prevention & controlSubject(s)
Aorta, Thoracic/surgery , Drainage , Endovascular Procedures , Lumbar Vertebrae/surgery , Postoperative Complications/prevention & control , Spinal Cord Ischemia/prevention & control , Brain/diagnostic imaging , Female , Humans , Intracranial Pressure , Middle Aged , Tomography, X-Ray ComputedABSTRACT
We report a case of a rare disease that requires a unique anaesthetic approach for a unique surgical procedure. Anaesthesiologists need to be familiar with different pathophysiological aspects of this disease and its perioperative management.