No description available.
It takes time to construct, but it does not take time to destruct… Goyal: It takes time to construct, but it does not take time to destruct… Goyal BIOFLUID DYNAMICS OF THE CARDIOPULMONARY BYPASS SURGERY: BIOFLUID DYNAMICS OF THE CARDIOPULMONARY BYPASS SURGERYSlide3: John Ramirez Karym Urdaneta Jesse Castillo Victor DelgadoObjectives: Objectives Early history of CPB Description of the CPB machine Components of the CPB circuit. Fluid balance during CPB usage. Conduct during CPB History: History Early machines WWII Thomas Watson John H. Gibbons Jr. 1903-1973History: History Success with dogs Human failures SuccessCPB Machine: CPB Machine Allows heart surgery Heart is emptied and stopped Oxygenates and pumps the blood CPB Machine: CPB Machine Blood pumps Heater/cooler device Gas exchanger Tubing FilterCPB Machine: CPB Machine Personnel Fluids CircuitCPB Machine: CPB Machine Gravlee, 2000, page 585Equipment: Cannulas: Equipment: Cannulas Gravity siphonage Single or two stage Effective positioning Gravlee, 2000, page 72 & 73Equipment: EquipmentEquipment: Tubing: Equipment: Tubing Low spallation Smooth curves and nonwettable Flexible, hard, tough… Equipment: Tubing: Equipment: TubingEquipment: Reservoir: Equipment: Reservoir A buffer for fluctuations A gross bubble trap Provides time for actionEquipment: Pumps: Equipment: Pumps Ideal pump: No blood damage Easily monitored flow rate No turbulence or stagnation Manually operable Types of Pumps: Types of Pumps Gravlee, 2000, page 42 Roller PumpsTypes of Pumps: Types of Pumps Gravlee, 2000, page 42 Centrifugal pumpsTypes of Pumps: Types of PumpsEquipment: Oxygenators: Equipment: Oxygenators (Bubble Oxygenator) Gravlee, 2000, page 55Equipment: Oxygenators: Equipment: Oxygenators (Membrane Oxygenator) Gravlee, 2000, page 57Equipment: Oxygenators: Equipment: Oxygenators Gravlee, 2000, page 50Equipment: Other Components: Equipment: Other Components Filters Bubble traps Heat exchangers Hemoconcentrators Gravlee, 2000, page 86CPB Circuit: CPB Circuit Gravlee, 2000, page 70Fluid Balance: Fluid Balance Hematocrit Priming volume Fluid administration during CPB Hypothermia: Hypothermia Reduced metabolic rate Less oxygen consumption Viscosity Hypothermia: Hypothermia Gravlee, 2000, page562 Viscosity of human blood with varying temperatureMyocardial Protection: Myocardial Protection Cardiac arrest with cardioplegia Hypothermia Myocardial edema Buffering acidosis Anticoagulation: Anticoagulation Blood contact with foreign surfaces Heparin & side effects Monitoring ProtamineConduct: Conduct Teamwork Initiation Performance MonitoringMonitoring: Monitoring Electrocardiograph Pressure Temperature Neurological Activity Coagulation Status Conclusions: Conclusions Cardiovascular surgery Postperfusion syndrome Artificial bloodAcknowledgements: Acknowledgements BMEI staff Professor Megh GoyalThank You: Thank YouSlide35: Reach for the stars, even if you have to stand on a cactus… John Ramirez
Bariatric Sur..
By: RaelynnS..
ppt surgery 1
By: aSGuest1..
Single Incisi..
By: johnact
Coronary Arte..
By: draswini..
genitourinary..
By: Amateur
Guide to Arth..
By: kershawm
Chp. 68 Hand ..
By: klarson
VATS-Video As..
By: f.apicel..
Surgery Prepa..
By: kongtche..
high technolo..
By: funnysid..
logging in or signing up