Reference : CPB AND AORTIC SURGERY The state of the Art (From a Theoritical to a Practical Approach)
Scientific congresses and symposiums : Unpublished conference
Human health sciences : Surgery
http://hdl.handle.net/2268/134665
CPB AND AORTIC SURGERY The state of the Art (From a Theoritical to a Practical Approach)
English
LAGNY, Marc-Gilbert [Centre Hospitalier Universitaire de Liège - CHU > > Bloc opératoire chirurgie cardio-vasculaire >]
BLAFFART, Francine mailto [Centre Hospitalier Universitaire de Liège - CHU > > Bloc opératoire chirurgie cardio-vasculaire >]
Defraigne, Jean-Olivier mailto [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique >]
4-Oct-2012
No
International
3rd International Meeting on Aortic Diseases
5 octobre 2012
CHU de Liège
Liège
Belgium
[en] aortic surgery ; cardiopulmonary bypass
[en] Background
Despite recent improvements in prevention, medical treatment [1]and endovascular aortic repair , invasive surgery associated with cardiopulmonary bypass (CPB) remains the best option of treatment for some patients.
The aim of this study is to make a review of the specific CPB protocols associated with these invasive surgical approaches, based on our clinical experience and according to the recent literature.
Up to now, these protocols are not supported by evidence based in medicine (EBM) [2] or in perfusion (EBP).
Discrepancies can be observed regarding target temperature , selective cerebral protection , CPB circuit concept and arterial cannulation sites .
Variables guidelines are suggested concerning regional flow , transfusion requirements [3], coagulation monitoring blood gas management[4] as for cerebral and CPB monitoring tools.
Conclusions
In the absence of EBM and EBP in the aortic surgery field, the short and long terms clinical outcomes of the patients elected to invasive surgery for aortic diseases must guide and substantiate our choices of techniques and of CPB protocols.
Professionals
http://hdl.handle.net/2268/134665

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