Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass

doi:10.1017/9781009008143.013

Chapter 13 - Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass

Published online by Cambridge University Press: 24 October 2022

Mark Buckland and

Jessica Underwood

Edited by

Florian Falter ,

Albert C. Perrino, Jr and

Robert A. Baker

Show author details

Florian Falter: Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr: Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker: Affiliation:
Flinders Medical Centre, Adelaide

Book contents

Get access

Summary

Both cardiopulmonary bypass (CPB) and extra-corporeal membrane oxygenation (ECMO) are forms of mechanical circulatory support (MCS) utilized for short or long-term supplementation of native cardiac and/or respiratory function. The indications for these specialist techniques are becoming increasingly broad as treated pathologies get more complex. This chapter addresses complex MCS techniques during cardiothoracic surgery, specialist techniques utilized during donor organ procurement and during heart, lung and liver transplantation as well as emergent uses of MCS both inside and outside the operating room.

Keywords

Mechanical Support Equipment Mechanical Support during Thoracic Surgery Mechanical Support during Aortic Surgery Mechanical Support during Donor Organ Procurement Mechanical Support during Transplantation ECPR Rewarming from Hypothermia

Type: Chapter
Information: Cardiopulmonary Bypass , pp. 123 - 137

DOI: https://doi.org/10.1017/9781009008143.013 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Further Reading

Surman, TL, Worthington, MG, Nadal, JM. Cardiopulmonary bypass in non-cardiac surgery. Heart Lung Circ 2019; 28: 959–969.Google Scholar

Slinger, P, Karsli, C. Management of the patient with a large anterior mediastinal mass: recurring myths. Curr Opin Anaesthesiol 2007; 20: 1–3.CrossRef Google Scholar PubMed

Arif, R, Eichorn, F, Kallenbach, K et al. Resection of thoracic malignancies infiltrating cardiac structures with use of cardiopulmonary bypass. J Cardiothor Surg 2015; 10: 87–94.Google Scholar

Hsu, C, Kwan, G, Van Driel, M et al. Distal aortic perfusion during thoracoabdominal aneurysm repair for prevention of paraplegia. Cochrane Database Syst Rev 2012; 3: CD008197.Google Scholar

Matalanis, G, Ch’ng, S. Thoracoabdominal aortic aneurysm – The branch first technique. Semin Thorac Cardiovasc Surg 2020; 31.4: 627–872.Google Scholar

Page, A, Messer, S. Large SR heart transplantation from donation after circulatory determined death. Ann Cardiothorac Surg. 2018;7(1): 75–81.Google Scholar

Van Raemdonck, D, Keshavjee, S, Levvey, B et al. Donation after circulatory death in lung transplantation – Five-year follow-up from ISHLT registry. J Heart Lung Transplant 2019; 38: 1235–1245.Google Scholar

Kiziltug, H, Falter, F. Circulatory support during lung transplantation. Curr Opin Anaesthesiol 2020; 33: 37–42.Google Scholar

Czigany, Z, Scherer, M, Pratschke, J et al. Technical aspects of orthotopic liver transplantation – A survey-based study within the Eurotransplant, Swisstransplant, Scandiatransplant and British transplantation society networks. J Gastrointest Surg 2019; 23: 529–537.Google Scholar

Stub, D, Bernard, S, Pellegrino, V et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 86; 2015: 88–94.Google Scholar

Paal, P, Gordon, L, Strapazzon, G et al. International Commission for Mountain Emergency medicine (ICAR MEDCOM): accidental hypothermia – an update. Scan J of Trauma Resus Emerg Med 2016; 24: 111.CrossRef Google Scholar PubMed

Kruitt, N, Prusak, M, Miller, M et al. Assessment of safety and bleeding risk in the use of extracorporeal membrane oxygenation for multitrauma patients: a multicenter review. J Trauma Acute Care Surg 2019; 86: 967–973.CrossRef Google Scholar

Ostermann, M, Connor, M, Kashani, K. Continuous renal replacement therapy during extracorporeal membrane oxygenation: why, when and how? Curr Opin Crit Care 2018, 24: 493–503.Google Scholar