Weaning from cardiopulmonary bypass

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Weaning from cardiopulmonary bypass

Corresponding author: Heezoo Kim, M.D., Ph.D., Department of Anesthesiology and Pain Medicine, School of Medicine, Korea University, 97, Gurodong-gil, Guro-gu, Seoul 152-703, Korea. Tel: 82-2-2626-3236, Fax: 82-2-851-9897, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.o...

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Weaning from cardiopulmonary bypass: problems and remedies.

W a patient from cardiopulmonary bypass (CPB) is an important step of surgical procedures. It requires the anaesthesiologist to apply the basic principles of cardiovascular physiology and pharmacology. The goal is a smooth transition from the mechanical pump back to the heart as the source of blood flow. Weaning off CPB should always be conducted in a coordinated fashion. The surgeon directs th...

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Difficulty Weaning Off Cardiopulmonary Bypass: Role of Diabetes-Associated Cardiomyopathy

Diabetes mellitus is a progressive systemic disease that adversely affects cardiovascular function. Diabetesassociated cardiovascular changes are a major cause of morbidity and mortality worldwide. Clinical trials indicate that diabetes accelerates and worsens the prognosis of coronary atherosclerosis, is associated with a 3-fold increase in the incidence of heart failure and that it is indepen...

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Predictive value of rotational thromboelastometry during cardiopulmonary bypass for thrombocytopenia and hypofibrinogenemia after weaning of cardiopulmonary bypass

BACKGROUND The early detection of coagulopathy helps guide decisions regarding optimal transfusion management during cardiac surgery. This study aimed to determine whether rotational thromboelastometry (ROTEM) analysis during cardiopulmonary bypass (CPB) could predict thrombocytopenia and hypofibrinogenemia after CPB. METHODS We analyzed 138 cardiac surgical patients for whom ROTEM tests and ...

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The effect of electrolyte imbalance on weaning from cardiopulmonary bypass: an experimental study.

An imbalance in electrolyte concentration during separation from cardiopulmonary bypass (CPB) may lead to a disruption in excitation-contraction coupling resulting in a failure to wean. The etiology of myocardial dysfunction is multifactorial, and includes alterations in acid-base balance, glucose metabolism, and cellular function. The purpose of this study was to assess the effect of hyperkale...

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ژورنال

عنوان ژورنال: Korean Journal of Anesthesiology

سال: 2013

ISSN: 2005-6419,2005-7563

DOI: 10.4097/kjae.2013.64.6.487