Cardiovascular Perfusion and Nursing
2022 , Vol 1, Issue 3
Cardiopulmonary bypass weaning process, encountered challenges, and the management
1Gülhane Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
DOI :
10.5606/e-cvpn.2022.213
Weaning from cardiopulmonary bypass (CPB) requires the heart
to resume its function as the driving force of blood flow, taking
over from the mechanical pump in the CPB circuit. Weaning,
the process of transition from CPB to physiological circulation,
requires excellent communication and teamwork between
the perfusionist, surgeon, and anesthetist. Cardiac function
must be optimized prior to weaning from CPB to achieve a
smooth transition. Delays in investigating or treating abnormal
parameters may lead to the heart failing, necessitating a return to
extracorporeal circulation. Consequently, anticipation of possible
cardiac dysfunction and thorough advance preparation are key
elements of the weaning process. This article aimed to mention
the weaning process, difficulties, and management of CPB.
Keywords :
Cardiopulmonary bypass, inotropes, vasoplegic syndrome, ventricular dysfunction, weaning