Surgery for heart defects with the use of extracorporeal circulation
Cardiovascular Diseases / / August 12, 2017
operations on the pericardium and heart
(method of operation)
Organization and carrying out surgery for heart defects using extracorporeal circulation is much more complicated all other surgeries.Such operations should only be performed in specialized centers with a large (sometimes long) experience of such operations, staff of experienced surgeons, internists, anesthesiologists, intensive care and operating nurses and technical workers to ensure devices work for cardiopulmonary bypass and testdevices.
total number of persons involved in the operation, is significantly increased, reaching two dozen.All persons directly or indirectly involved in the operation, divided into three groups.
1. A team of surgeons operating with two sisters, providing surgery on the heart.
2. The anesthesiologist with assistants, conductive anesthesia, and provides continuous monitoring of basic vital functions of the body.
3. A team that provides job-lung machine.
presence of large numbers of people in the operatin
When such operations are used for a large set of thoracic surgery with the addition of a sternotomy, machines for stitching the sternum, special large-diameter cannulas.
When prosthetic valves sister together with the surgeon beforehand selects the most probable size of prosthetic valves and sterilizes them.Application of these operations, significant amounts of heparin requires surgical nurses have the necessary supply of it in the operating room, as well as protamine sulfate solution.
addition to the standard types used thoracotomies chrezdvuhplevralny access to longitudinal or transverse sternotomy.Simultaneously to the femoral artery cannulation is used to access the femoral artery in the upper thigh.