Perfusion safety: new initiatives and enduring principles

Kurusz, Mark

doi:10.1177/0267659110393389

Cited by 7 publications

(8 citation statements)

References 83 publications

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“…28,29 Collecting information on adverse events in registries will help prevent such incidents in the future. 30 An excellent tool that perfusionists can use for this purpose is the online Perfusion Improvement Reporting System of the Australian and New Zealand College of Perfusionists (https:// anzcp.org/pirs-ii/). Perfusion safety can be enhanced by a multitude of measures, such as the use of dedicated safety equipment [e.g.…”

Section: Description Of the Evidencementioning

confidence: 99%

2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery

Kunst

Milojevic

Boer

et al. 2019

British Journal of Anaesthesia

127

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Special Article responsible in the event of any contradiction, discrepancy and/or ambiguity between the EACTS, EACTA and EBCP Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies. Health professionals are encouraged to take the EACTS, EACTA and EBCP Guidelines fully into account when exercising their clinical judgement as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies; however, the EACTS, EACTA and EBCP Guidelines do not, in any way whatsoever, override the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and, where appropriate and/or necessary, in consultation with that patient and the patient's care provider. Nor do the EACTS, EACTA and EBCP Guidelines exempt health professionals from giving full and careful consideration to the relevant official, updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription. The article has been co-published with permission in the British Journal of Anaesthesia, the European Journal of Cardio-Thoracic Surgery and the Interactive CardioVascular and Thoracic Surgery.

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Section: Description Of the Evidencementioning

confidence: 99%

2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery

Kunst

Milojevic

Boer

et al. 2019

British Journal of Anaesthesia

127

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“…It is critical to cope with the air within the ALF when massive air embolism occurs in the CPB circuit, for the reason that it is fairly difficult to completely remove the bubbles from the ALF once they enter the ALF which has already been in contact with blood. 3,8 The differences between the three de-airing approaches in this study are essentially about how to remove the air from the ALF and whether to keep the filter’s functionality. The Conventional Method is the classic CPB massive air embolism management approach taught in CPB textbooks.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is imperative to improve the knowledge and management of such rare, but grave CPB crises. 8,9 CPB simulation-based training utilizes a series of modern technologies and concepts to imitate real-life CPB scenarios, which provides the participants (cardiac residents, perfusionists and trainees) with risk-free cognitive and skill-learning environments. 10–12 A multi-discipline cardiac and CPB team simulation scenario was established to apply and compare three different de-airing approaches so that the most efficient and reliable approach could be determined.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of three methods for removing massive air in a cardiopulmonary bypass circuit: simulation-based multi-discipline training in West China Hospital

et al. 2018

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Background and Objective: A multi-discipline cardiac and cardiopulmonary bypass (CPB) team simulation scenario was established to compare three different de-airing approaches dealing with massive air embolism in CPB, so as to formulate a standardized procedure to handle this adverse acute event more proficiently and ensure clinical safety. Method: A simulation-based clinical CPB massive air embolism scenario was developed by a cardiac and CPB team. Study Objects: Five licensed perfusionists and five CPB trainees were matched randomly into five pairs. Each pair would simulate the three different de-airing approaches separately as followed: (1) Conventional Method: arterial line filter (ALF) de-airing purge line and oxygenator self-recirculation bypass were used to de-air; (2) Arterial-Venous Loop (A-V Loop) Method: surgeons reconnected the arterial and venous lines to de-air by restoring the original priming A-V loop configuration; (3) Isolation of the ALF Method: this ensures de-bubbling of the CPB circuit, but bypasses the ALF function. Assessment Criteria: (1) Times to recovery (duration of the circulation suspension); (2) Subjective evaluation of skill and non-skill performances. Results: As to times to recovery, the Conventional Method group took 290.6 s ± 36.2, the A-V Loop Method group took 196.8 s ± 52.0 and the Isolation of ALF group took 99.4 s ± 15.1. The statistical difference is significant among the three groups (p<0.01). The subjective evaluation of training performance indicates that this simulation-based training is effective in assessing both skill and non-skill abilities. Conclusion: CPB simulation-based training was effective in comparing de-airing strategies and can instruct perfusion practices how to optimize techniques. For well-trained, multi-discipline cardiac teams, the A-V Loop Method is highly efficient and reliable in managing CPB massive air embolism. For cardiac teams that do not have this sophisticated training, the Isolation of ALF Method should be their alternative option.

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“…The increase in CPB cases per year especially in pediatric cases pointed in the direction of this improvement. Schools of cardiovascular perfusion will strive to develop and maintain quality standards in cardiovascular perfusion that promote safety and protection of the public (6).…”

Section: Professional Activity (Reported Every Third Year)mentioning

confidence: 99%

Perfusion Practices and Education of Perfusionists for Open Heart Surgery in Turkey—Current Practices and Future Suggestions

Onan¹,

Yivli²,

Erkan³

et al. 2012

Artificial Organs

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Perfusion safety: new initiatives and enduring principles

Cited by 7 publications

References 83 publications

2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery

2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery

Assessment of three methods for removing massive air in a cardiopulmonary bypass circuit: simulation-based multi-discipline training in West China Hospital

Perfusion Practices and Education of Perfusionists for Open Heart Surgery in Turkey—Current Practices and Future Suggestions

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