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CPB AND AORTIC SURGERY: From a theoretical approach to a practical approach
LAGNY, Marc-Gilbert; BLAFFART, Francine
2013
 

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Présentation BelSECT M. Lagny (State of the art).pdf
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Keywords :
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.
Disciplines :
Surgery
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
Language :
English
Title :
CPB AND AORTIC SURGERY: From a theoretical approach to a practical approach
Publication date :
13 March 2013
Event name :
Educational Evening
Event organizer :
Belgian Society of Extracorporeal Technology (BelSECT)
Event place :
Brussels, Belgium
Event date :
13 mars 2013
Available on ORBi :
since 17 March 2013

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