Retrospective Analysis of Bypass-Related Complications at Iran's Cardiovascular Surgical Centers

Autor: Nahid Zirak, Hamid Shafiei, Mehraveh Sadeghi Ivraghi, Lida Jarahi, Hassan Rahimi, Zahra Ahmadi Hassanabad, Hoorieh Pakniat, Shahrzad Maragheh Moghaddam
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardio-Thoracic Medicine, Vol 10, Iss 4, Pp 1078-1088 (2022)
Druh dokumentu: article
ISSN: 2345-2447
2322-5750
DOI: 10.22038/jctm.2022.67638.1397
Popis: Introduction: In addition to the well-known benefits of cardiopulmonary bypass (CPB), there are also certain possible risks, some of which are avoidable and some of which are accidental. In addition to CPB, potentially life-threatening consequences include human error and mechanical disruptions. The purpose of this study is to conduct a retrospective analysis of CPB accidents in Iranian cardiovascular surgery departments.Methods: This study included 151 Iranian perfusionists who were evaluated using a questionnaire created by the researchers. The questionnaire recorded all participants' demographic information as well as their experiences with human errors (e.g., perfusionist fatigue and drowsiness; errors in CPB circuit arrangement; and so on) and mechanical disturbances (cooling-warming circuit, oxygenator failure, electrical disruption, and so on). SPSS Version 16 was used to analyze all of the data.Result: 1) venous obstruction and improper venous return had the highest recurrence rate of 89.4%, 2) Removing the venous cannula and venting the venous path 86.8%, 3) 79.5% were unable to raise (ACT) more than 400. Most significant injuries were caused by clots or thrombi during CPB (2.6%), 2) failure of the oxygenator (2.6%). Most deaths were caused by an air embolism (5.29).Conclusions: Although the occurrence of human errors and mechanical disturbances cannot be predicted, they can be mitigated by the sharing of accidents and mistakes.
Databáze: Directory of Open Access Journals
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