Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2012 / Cilt: 20 - Sayı: 2

Recommendations for the selection of techniques and components used in congenital heart surgery in Turkey

Türkiye’de doğuştan kalp hastalıkları cerrahisinde kullanılan tekniklerin ve malzemelerin seçimi için öneriler

Pages
399–405
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The objectives of this study are to show how to use quality-control procedures and scientific data for the selection of novel techniques and components and to share, also, recent techniques experienced to minimize the complication risk after surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:There is no standard for the selection of technical and mechanical components (heart-lung machine system, oxygenator, arterial and venous cannulae, arterial filter and other specifically-designed components and devices) used in cardiopulmonary bypass in Turkey.
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Key Findings & Data:The cost of the component plays a significant role in the selection, as well as the preference of the facility.
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Conclusion & Impact:The objectives of this study are to show how to use quality-control procedures and scientific data for the selection of novel techniques and components and to share, also, recent techniques experienced to minimize the complication risk after surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

There is no standard for the selection of technical and mechanical components (heart-lung machine system, oxygenator, arterial and venous cannulae, arterial filter and other specifically-designed components and devices) used in cardiopulmonary bypass in Turkey. The cost of the component plays a significant role in the selection, as well as the preference of the facility. Only a limited number of hospitals decide which components to be used based on scientific data. Studies have confirmed that selected novel techniques and components having no basis of scientific justification may pose risk for the life of the patient in the short- and long-term. The objectives of this study are to show how to use quality-control procedures and scientific data for the selection of novel techniques and components and to share, also, recent techniques experienced to minimize the complication risk after surgery.

Özet

Ülkemizde kardiyopulmoner baypas sırasında kullanılan teknik ve mekanik malzemelerin (kalp-akciğer makinesi sistemi, oksijenatör, arteriyel ve venöz kanüller, arteriyel filtreler ve diğer özel olarak tasarlanmış malzeme ve cihazlar) seçimi standart değildir. Bu seçimde merkezin tercihinin yanı sıra, malzemenin fiyatı da büyük oranda rol oynayabilmektedir. Bilimsel verileri kullanarak malzeme seçimi yapan merkez sayısı çok azdır. Bilimsel gerekçelendirme olmaksızın yeni teknik ve malzemeleri uygulamanın, hastaların sağlığını kısa ve uzun vadede riske attığı, yapılan çalışmalarla kanıtlanmıştır. Bu makalenin amacı malzeme seçiminde kalite kontrol prosedürlerinin ve bilimsel verilerin nasıl kullanılacağını göstermek ve cerrahi sonrasında komplikasyon risklerini en aza indirgemek için denenmiş son teknikleri paylaşmaktır.

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Cite This Article

EREK, E., TÜRKÖZ, A., TÜRKÖZ, R., ŞAŞMAZEL, A., HAYDIN, S., ÜNDAR, A., ÇİÇEK, A. E., AĞIRBAŞLI, M., YİVLİ, P., BOZKAYA, T. A., YALÇINBAŞ, Y., AKÇEVİN, A., SARIOĞLU, T., BAKIR, İ., ÖDEMİŞ, E., KARACI, A. R. (2022). Recommendations for the selection of techniques and components used in congenital heart surgery in Turkey. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 20 - Sayı: 2, 399–405. https://ajindex.com/articles/424775

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References (13)

  1. Undar A. Penn State Hershey Pediatric Cardiovascular Research Center: 2011 update. Artif Organs 2011;35:358-60
  2. Salavitabar A, Qiu F, Kunselman A, Ündar A. Evaluation of the Quadrox-I neonatal oxygenator with an integrated arterial filter. Perfusion 2010;25:409-15
  3. Qiu F, Peng S, Kunselman A, Ündar A. Evaluation of Capiox FX05 oxygenator with an integrated arterial filter on trapping gaseous microemboli and pressure drop with open and closed purge line. Artif Organs 2010;34:1053-7
  4. Su XW, Undar A. Brain protection during pediatric cardiopulmonary bypass. Artif Organs 2010;34:E91-102
  5. Rider AR, Ji B, Kunselman AR, Weiss WJ, Myers JL, Undar A. A performance evaluation of eight geometrically different 10 Fr pediatric arterial cannulae under pulsatile and nonpulsatile perfusion conditions in an infant cardiopulmonary bypass model. ASAIO J 2008;54:306-15
  6. Qiu F, Clark JB, Kunselman AR, Undar A, Myers JL. Hemodynamic evaluation of arterial and venous cannulae performance in a simulated neonatal extracorporeal life support circuit. Perfusion 2011;26:276-83
  7. Akçevin A, Alkan-Bozkaya T, Qiu F, Undar A. Evaluation of perfusion modes on vital organ recovery and thyroid hormone homeostasis in pediatric patients undergoing cardiopulmonary bypass. Artif Organs 2010;34:879-84
  8. Su XW, Guan Y, Barnes M, Clark JB, Myers JL, Undar A. Improved cerebral oxygen saturation and blood flow pulsatility with pulsatile perfusion during pediatric cardiopulmonary bypass. Pediatr Res 2011;70:181-5
  9. Karaci AR, Sasmazel A, Aydemir NA, Saritas T, Harmandar B, Tuncel Z, et al. Comparison of parameters for detection of splanchnic hypoxia in children undergoing cardiopulmonary bypass with pulsatile versus nonpulsatile normothermia or hypothermia during congenital heart surgeries. Artif Organs 2011;35:1010-7
  10. Ündar A, Palanzo D, Qiu F, Alkan-Bozkaya T, Akcevin A, Talor J, et al. Benefits of pulsatile flow in pediatric cardiopulmonary bypass procedures: from conception to conduction. Perfusion 2011;26 Suppl 1:35-9
  11. Wang S, Miller A, Myers JL, Undar A. “Stolen” blood flow: effect of an open arterial filter purge line in a simulated neonatal CPB model. ASAIO J 2008;54:432-5
  12. Wang S, Undar A. Vacuum-assisted venous drainage and gaseous microemboli in cardiopulmonary bypass. J Extra Corpor Technol 2008;40:249-56
  13. Clark JB, Barnes ML, Undar A, Myers JL. Multimodality neuromonitoring for pediatric cardiac surgery: our approach and a critical appraisal of the