Advertisement

Several Parameters of Extracorporeal Circulation and outcome

  • Allen E. Willner
  • Georg Rodewald

Abstract

The aim of cardiopulmonary bypass is the maintenance of peripheral gas exchange and nutrition by adequate tissue perfusion during open heart surgery. At first sight, the present low hospital mortality rate at least in elective cases - in our International Study 2% of 500 cases so far - seems to demonstrate that extracorporeal circulation generally meets this demand. However, according to authors like Wheatley [1], we have to question whether cardiopulmonary bypass guarantees a complete restoration of organ function after surgery.

Keywords

Cardiopulmonary Bypass Perfusion Pressure Open Heart Surgery Extracorporeal Circulation Mixed Venous Blood 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    H. Pokar, N. Bleese, H. Fisher-Duesterhoff, P. Goetze, G. Huse-Kleinstoll, J. Koedijk, M.-J. Polonius, K. Pruessmann, V. Tilsner, Use of prostacyclin to prevent postoperative psychic and neurological disturbances after open heart surgery, in: “Psychopathological and Neurological Dysfunctions Following Open Heart Surgery,” R. Becker, J. Katz, M. J. Polonius, H. Speidel, eds. Springer, Berlin, Heidelberg, New York, 312 (1982).Google Scholar
  2. 2.
    D. W. Bethune, Focal neurological lesions and diffuse organic brain damage in open heart surgery patients, in: “Psychopathological and Neurological Dysfunctions Following Open Heart Surgery,” R. Becker, J. Katz, M. J. Polonius, H. Speidel, eds.. Springer, Berlin, Heidelberg, New York, 300 (1982).Google Scholar
  3. 3.
    O. R. Lindsley, J. H. Hobika, B. E. Esten, Operant recovery from anesthesia - a simple test, Anesthesia And Analgesia, 48: 136 (1961).Google Scholar
  4. 4.
    L. Grabow, W. Sachs, L. Zelinka, H. Schlemmer, V. Ehehalt, Leistungspsychologische und blutgasanalytische nersuchungen bei euroleptanalgesien und alothanenarkosen, Anaesthesist, 22: 150 (1973).Google Scholar
  5. 5.
    R. J. Smith, N. M. Roberts, R. J. Rodoers, S. Bennent, Adverse cognitive effects of general anesthesia in young and elderly patients, Internat. Clin. Pharmacology, 1:253 (1986).Google Scholar
  6. 6.
    D. W. Bethune, Test of delayed memory recall suitable for assessing post-operative amnesia. Anesthesia, 36: 942 (1981).CrossRefGoogle Scholar
  7. 7.
    Comparison Of recovery test after intravenous sodation of diazepam-methohexital and fentanyl, journ. Oral Surgery, 37: 391 (1979).Google Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Allen E. Willner
    • 2
  • Georg Rodewald
    • 1
  1. 1.University Hospital of HamburgHamburgFederal Republic of Germany
  2. 2.Hillside HospitalGlen OaksNew York

Personalised recommendations