Title: Anesthetic management for non-cardiac operation under cardiopulmonary bypass
Abstract: Objective To summarize preoperative evaluation and anesthesia in patients of non cardiac operation under cardiopulmonary bypass(CPB).Methods 9 times of anesthesia for 8 patients of non cardiac operation under cardiopulmonary bypass were analyzed retrospectively,in which cardiopulmonary bypass was set up in six times by left or right thigh artery to thigh vein and in two times by right subclavian artery to subclavian vein partially,and in two times commonly.Results The mean time of CPB was (131±31)min(96~184min) and the mean time of operation was( 5.9±1.8)h(4~9.5h),the average bleed was (1 350±967)ml(600~3 500ml) and the average transfusion was (950±886)ml(400~3 000ml),and the mean urine output was 1 001±450ml(400~1 800ml) and the average time of respiratory support was (28.5±30.8)h(4.5~96h) postoperation,one patient died of multiple organ dysfunction at 42 days after operation.Conclusion More virtues of cardiopulmonary bypass might have been confirmed in patients with difficult airway,unstable circulatory function or other special patients,and the augmentation of pre anesthesia evaluation and anesthetic management is advantageous for anesthesia and operation success.
Publication Year: 2003
Publication Date: 2003-01-01
Language: en
Type: article
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