ORBi: LAGNY Marc-Gilbert - CPB AND AORTIC SURGERY The state of the Art (From a Theoritical to a Practical Approach)

Reference : CPB AND AORTIC SURGERY The state of the Art (From a Theoritical to a Practical Approach)


	Document type :	Scientific congresses and symposiums : Unpublished conference
	Discipline(s) :	Human health sciences : Surgery
	To cite this reference:	http://hdl.handle.net/2268/134665

Title :	CPB AND AORTIC SURGERY The state of the Art (From a Theoritical to a Practical Approach)
Language :	English
Author, co-author :	LAGNY, Marc-Gilbert [Centre Hospitalier Universitaire de Liège - CHU > > Bloc opératoire chirurgie cardio-vasculaire >]
	BLAFFART, Francine [Centre Hospitalier Universitaire de Liège - CHU > > Bloc opératoire chirurgie cardio-vasculaire >]
	Defraigne, Jean-Olivier [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique >]
Publication date :	4-Oct-2012
Peer reviewed :	No
Audience :	International
Event name :	3rd International Meeting on Aortic Diseases
Event date :	5 octobre 2012
Event organizer :	CHU de Liège
Event place (city) :	Liège
Event country :	Belgium
Keywords :	[en] aortic surgery ; cardiopulmonary bypass
Abstract :	[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.
Target :	Professionals
Permalink :	http://hdl.handle.net/2268/134665

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