Extra Corporeal Circulation in Paediatrics Cardiopulmonary Bypass circulation [CPB] When all the systemic venous drainage to the heart is drained and returned to the CPB circuit and again to the patient through arterial cannulas is described as cardiopulmonary bypass circulation. Cannulation for CPB Routinely systemic venous return can be drained through two cannulae-SVC and IVC. […]

➤ Avoid CPB if possible ➤ If possible perform in 2nd trimester ➤ Continuous FHR monitoring ➤ Avoid acidosis & low PaO2 ➤ Keep flow rates > 3 lit/min/m2 ➤ Maintain perfusion pressure above 65 mmhgbfor adequate flow to fetus ➤ Low HCT > 22% ➤ Turn patient to left 15-20*C to keep gravid uterus […]

Non Cardiac Surgical Applications of Cardiopulmonary Bypass CURRENT APPLICATIONS OF CPB FOR NON CARDIAC SURGERY Bypass is used to induce profound hypothermia. Patients with significant pulmonary disease requiring surgery that demands a bloodless field constitute second largest group. Operations on IVC require bypass procedure to return blood to the heart-venoatrial/venovenal diseases. Variety of unusual diseases. […]