Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm
Membrane oxygenator failure remains a concern for perfusion teams. Successful outcomes for this low-frequency, high-risk intervention are predicated on having written institutional protocols for both the oxygenator change-out procedure as well as how often the procedure is practiced by staff perfusi...
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| Format: | Article |
| Language: | English |
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EDP Sciences
2024-12-01
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| Series: | The Journal of ExtraCorporeal Technology |
| Subjects: | |
| Online Access: | https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240028/ject240028.html |
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| _version_ | 1841554698269622272 |
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| author | Matte Gregory S. Regan William L. Gadille Sarah I. Connor Kevin R. Boyle Sharon L. Fynn-Thompson Francis E. |
| author_facet | Matte Gregory S. Regan William L. Gadille Sarah I. Connor Kevin R. Boyle Sharon L. Fynn-Thompson Francis E. |
| author_sort | Matte Gregory S. |
| collection | DOAJ |
| description | Membrane oxygenator failure remains a concern for perfusion teams. Successful outcomes for this low-frequency, high-risk intervention are predicated on having written institutional protocols for both the oxygenator change-out procedure as well as how often the procedure is practiced by staff perfusionists. A recent review of peer-reviewed journal articles, textbooks and online resources revealed a lack of a unified intervention algorithm for failure to oxygenate during cardiopulmonary bypass (CPB). While an oxygenator change-out procedure may still be considered the gold standard for a confirmed device failure, temporizing measures exist that, in select cases, can afford time to the clinical team and even obviate the need for an oxygenator change-out procedure. We now consider the venous piggyback technique sourcing blood from the venous limb of the circuit a first-line intervention to afford enhanced patient safety while the clinical team decides on required interventions when oxygenator failure presents during CPB. |
| format | Article |
| id | doaj-art-49e9827f3a864056a0a32f406587b1b3 |
| institution | Kabale University |
| issn | 0022-1058 2969-8960 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | The Journal of ExtraCorporeal Technology |
| spelling | doaj-art-49e9827f3a864056a0a32f406587b1b32025-01-08T11:00:22ZengEDP SciencesThe Journal of ExtraCorporeal Technology0022-10582969-89602024-12-0156421622410.1051/ject/2024026ject240028Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithmMatte Gregory S.0Regan William L.1Gadille Sarah I.2Connor Kevin R.3Boyle Sharon L.4Fynn-Thompson Francis E.5Department of Cardiac Surgery, Boston Children’s HospitalDepartment of Cardiac Surgery, Boston Children’s HospitalDepartment of Cardiac Surgery, Boston Children’s HospitalDepartment of Cardiac Surgery, Boston Children’s HospitalDepartment of Cardiac Surgery, Boston Children’s HospitalDepartment of Cardiac Surgery, Boston Children’s HospitalMembrane oxygenator failure remains a concern for perfusion teams. Successful outcomes for this low-frequency, high-risk intervention are predicated on having written institutional protocols for both the oxygenator change-out procedure as well as how often the procedure is practiced by staff perfusionists. A recent review of peer-reviewed journal articles, textbooks and online resources revealed a lack of a unified intervention algorithm for failure to oxygenate during cardiopulmonary bypass (CPB). While an oxygenator change-out procedure may still be considered the gold standard for a confirmed device failure, temporizing measures exist that, in select cases, can afford time to the clinical team and even obviate the need for an oxygenator change-out procedure. We now consider the venous piggyback technique sourcing blood from the venous limb of the circuit a first-line intervention to afford enhanced patient safety while the clinical team decides on required interventions when oxygenator failure presents during CPB.https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240028/ject240028.htmlcardiopulmonary bypassoxygenator failureoxygenator change-outcardiopulmonary bypass emergency |
| spellingShingle | Matte Gregory S. Regan William L. Gadille Sarah I. Connor Kevin R. Boyle Sharon L. Fynn-Thompson Francis E. Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm The Journal of ExtraCorporeal Technology cardiopulmonary bypass oxygenator failure oxygenator change-out cardiopulmonary bypass emergency |
| title | Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm |
| title_full | Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm |
| title_fullStr | Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm |
| title_full_unstemmed | Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm |
| title_short | Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm |
| title_sort | failure to oxygenate during cardiopulmonary bypass treatment options and intervention algorithm |
| topic | cardiopulmonary bypass oxygenator failure oxygenator change-out cardiopulmonary bypass emergency |
| url | https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240028/ject240028.html |
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