Document Detail


Update on management strategies for separation from cardiopulmonary bypass.
MedLine Citation:
PMID:  21157305     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To update the reader about clinical management strategies for separation from cardiopulmonary bypass. A number of new drugs are being introduced in clinical practice, with significant utility in operative patient management. Further, there is increased routine use of complex devices to achieve separation from or avoidance of cardiopulmonary bypass. RECENT FINDINGS: Selected medical and device strategies from the most recent literature will be discussed. First, the rationale for selected innovative agents to achieve myocardial performance is reviewed in four perioperative settings: agents for the management of myocardial dysfunction, vasomotor dysfunction, pulmonary hypertension, and right ventricular failure. Second is an evaluation of less commonly considered aspects of mechanical device use in the context of failure to wean from cardiopulmonary bypass or use to avoid cardiopulmonary bypass. Three devices will be discussed: intra-aortic balloon pump, ventricular assist devices, and extracorporeal membrane oxygenation. SUMMARY: As our pharmacological and technological armamentarium improve, our population ages and procedures are attempted on patients with increasing co-morbid conditions, it will be important to both utilize newer pharmacological agents and consider innovative uses for device implementation to achieve optimal perioperative outcomes.
Authors:
Frederick W Lombard; Katherine P Grichnik
Related Documents :
12470395 - Improvement of risk-stratification by use of a new combination of holter variables in s...
3792355 - Incidence, clinical significance and prognosis of ventricular fibrillation in the early...
9627065 - Theoretical calculation of maximum attainable benefit of public access defibrillation i...
9323095 - Safety of atrial defibrillation shocks synchronized to narrow and wide qrs complexes du...
4046165 - Perioperative anesthetic risk of noncardiac surgery in hypertrophic obstructive cardiom...
16480025 - Annular compression stitch for quadrangular resections in mitral valve repair.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-12-13
Journal Detail:
Title:  Current opinion in anaesthesiology     Volume:  -     ISSN:  1473-6500     ISO Abbreviation:  -     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8813436     Medline TA:  Curr Opin Anaesthesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Cardiothoracic Anesthesia and Critical Care Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hypoxic pulmonary vasoconstriction: mechanisms of oxygen-sensing.
Next Document:  Lung volume reduction surgery: nonpharmacological approach.