RT Book, Section
A1 Ostrowsky, Jacob
A1 Ungerleider, Ross
A2 Yuh, David D.
A2 Vricella, Luca A.
A2 Yang, Stephen C.
A2 Doty, John R.
SR Print(0)
ID 1104595188
T1 Cardiopulmonary Bypass in the Pediatric Patient
T2 Johns Hopkins Textbook of Cardiothoracic Surgery
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-166350-2
LK accesssurgery.mhmedical.com/content.aspx?aid=1104595188
RD 2024/04/20
AB The  development  of  cardiopulmonary  bypass  (CPB)  has  enabled  operative  treatment  for  countless  numbers  of  patients  with  a  multitude  of  acquired  and  congenital  cardiac  and  vascular  anomalies.  The  CPB  circuit  is  a  unique  device  designed  to  divert  a  patient’s  circulation  around  the  area  that  requires  surgical  repair  so  that  surgeons  can  operate  in  a  virtually  bloodless  field.  The  typical  CPB  circuit  consists  of  a  series  of  blood  pumps  that  provide  cardiopulmonary  support  through  disposable  components  consisting  primarily  of  tubing,  a  blood  collection  reservoir,  and  an  oxygenator  (Fig.  61-1).  The  deoxygenated  venous  blood  is  pumped  through  the  oxygenator  and  is  returned  to  the  arterial  system  of  the  patient.  The  first  successful  open  heart  surgical  procedure  using  an  extracorporeal  CPB  machine  was  performed  in  1953  by  John  Gibbon.1  Since  then,  there  have  been  dramatic  improvements  to  the  device  itself,  to  the  components  required  for  its  application  and  to  the  techniques  and  strategies  used  to  apply  it,  and  to  the  monitoring,  while  safety  systems  have  been  designed  to  enable  safe  and  consistent  results,  with  steadily  improving  patient  outcomes.  This  chapter  will  provide  a  general  overview  of  the  CPB  circuit  components  [extracorporeal  circuit  (ECC)]  and  a  brief  discussion  of  strategies  used  to  apply  this  technology  in  the  field  of  pediatric  cardiac  surgery.