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Was der Herzchirurg schon immer über die Herz-Lungen-Maschine wissen wollte

What the cardiac surgeon always wanted to know about heart-lung machines

  • Kardiotechnik/EKZ
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die Herz-Lungen-Maschine (HLM) wurde seit ihrer Einführung stetig weiterentwickelt und modifiziert. Trotz aller technischen Neuerungen und Sicherungseinrichtungen an einer modernen HLM treten während der Perfusion Probleme auf, die ein sofortiges und kompetentes Handeln des Kardiotechnikers und des Chirurgen erfordern. Kontinuierliche Kommunikation sowie gegenseitiges Verständnis zwischen Chirurg und Kardiotechniker sind essenziell und deshalb Voraussetzung für den reibungslosen Ablauf von extrakorporaler Zirkulation (EKZ) und auch Operation. Funktionsprinzip, technische Entwicklungen sowie Probleme von HLM und EKZ werden grundlegend dargestellt und näher betrachtet.

Abstract

The extracorporeal circulation (cardiopulmonary bypass, CPB) was first introduced for clinical use in 1953. Since then, CPB has improved significantly in all aspects (including reliability, safety, durability, etc.) due to technical innovations and application of research results into clinical practice. Despite the very high standard of the technical equipment and the safety monitoring devices, perfusion problems still occur and require fast and well-trained actions from both the perfusionist and the surgeon. Communication throughout the procedure, as well as mutual understanding of the needs of perfusionists and surgeons are prerequisites for every cardiac surgery procedure with CPB and are of utmost importance if sudden problems with extracorporeal circulation should come up. This review covers all aspects of CPB, knowledge which should be part of the training program of every cardiac surgeon.

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Authors and Affiliations

  1. Abteilung für Herz- und Gefäßchirurgie, Universitätsklinikum Freiburg, Freiburg, BRD

    Christoph Benk, R. Klemm, S. Schaller, K. Brehm, C. Schlensak & F. Beyersdorf

  2. Abteilung Herz- und Gefäßchirurgie, Universitätsklinikum Freiburg i. Br., Hugstetterstraße 55, 79106, Freiburg, BRD

    Christoph Benk

Authors
  1. Christoph Benk
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  2. R. Klemm
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  3. S. Schaller
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  4. K. Brehm
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  5. C. Schlensak
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  6. F. Beyersdorf
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Correspondence to Christoph Benk.

Additional information

Dipl.-Ing. Christoph Benk, Jahrgang 1974, absolvierte das Studium Medical Engineering mit dem Schwerpunkt OP-Ingenieur an der Fachhochschule Furtwangen. Er arbeitet seit 2003 als leitender Kardiotechniker am Universitätsklinikum Freiburg und ist wissenschaftlicher Leiter der deutschen Gesellschaft für Kardiotechnik. Seit 2004 hat er einen Lehrauftrag im Fach Spezielle Kardiotechnik an der Fachhochschule Furtwangen.

Interessenkonflikt. Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Benk, C., Klemm, R., Schaller, S. et al. Was der Herzchirurg schon immer über die Herz-Lungen-Maschine wissen wollte. Z Herz- Thorax- Gefäßchir 22, 237–244 (2008). https://doi.org/10.1007/s00398-008-0644-2

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  • DOI: https://doi.org/10.1007/s00398-008-0644-2

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