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- W4387477514 abstract "Introduction Objective: To describe the multicenter variations in perfusionist practices, which persists nationally, and to highlight the non-evidence based practice variations. Study Design: Multicenter National web-based survey. Place and Duration of Study: Multicenter National adult cardiac surgical units. The study was conducted from July 2018 till January 2019. Methods Patients and Method: The web-based questionnaire of the survey was sent to 24 adult cardiac anesthesiologists working in different cardiac centers nationally. Results The response rate was 62.5% (15/24). Sixty percent of the respondents were practicing in heart centers. The survey demonstrated that 66.6% (10/15) of the respondents used goal directed perfusion during CPB, with more than 80% (13/15) of the perfusionists used aseptic measures during handling CPB machine, consulted with the cardiac anesthesiologist in critical decision making and treatment of complications, and used protocol for trouble shooting during CPB. Sixty percent (9/15) perfusionists did not monitor continuous arterial blood gases and acid base balance. About 73% (11/15) monitor serum Lactate level while most of perfusionists did not monitor the continuous venous and cerebral oxygen saturation. Discussion The aim of this first ever conducted CPB Perfusion practices national study was to describe the multicenter variations in perfusion practices and to highlight the non-evidence based practice variations in context of the study results. We focused on multiple aspects regarding stan-dard operating procedures (SOPs) during CPB,monitoring or management standards during CPB, anti-coagulation management, cardioplegia solution details, transfusion triggers, pharmaco-logical interventions during CPB and CPB circuitry or pump details." @default.
- W4387477514 created "2023-10-11" @default.
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- W4387477514 date "2023-10-01" @default.
- W4387477514 modified "2023-10-16" @default.
- W4387477514 title "Multicenter National survey on Cardiopulmonary bypass (CPB) Perfusion Practices during adult cardiac surgery" @default.
- W4387477514 doi "https://doi.org/10.1053/j.jvca.2023.08.083" @default.
- W4387477514 hasPublicationYear "2023" @default.
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