Perfusion safety: Defining the problem

Perfusion

Volumn 20, Issue 4, 2005, Pages 195-203

  Palanzo, David A ^a,b  

^a Perfussion Care Associates Inc   (United States)

^b NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALERTNESS; ARTICLE; AUTOMATION; AWARENESS; CARDIOPULMONARY BYPASS; COMPUTER AIDED DESIGN; HEALTH SURVEY; HEART PERFUSION; HEART SURGERY; HUMAN; INCIDENCE; INTERPERSONAL COMMUNICATION; MEDICAL DOCUMENTATION; MEDICAL EDUCATION; MEDICAL EXPERT; MEDICAL TECHNOLOGY; MORBIDITY; MORTALITY; OCCUPATIONAL ACCIDENT; OCCUPATIONAL SAFETY; OPERATING ROOM; PRIORITY JOURNAL; SURGICAL EQUIPMENT; SURGICAL TECHNIQUE;

CARDIOPULMONARY BYPASS; EXTRACORPOREAL CIRCULATION; HEALTH CARE SURVEYS; HEART-LUNG MACHINE; HUMANS; SAFETY;

EID: 23844461095     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1191/0267659105pf806oa     Document Type: Article

References (47)

1. Higgins M, Tyndal CM Jr, Berryessa RG, Hydrick DR. Is your oxygenator failing? Diagnosis and suggested treatment. J Extra Corpor Technol 1987; 19: 330-37.
2. Fisher AR. The incidence and cause of emergency oxygenator changeovers. Perfusion 1999; 14: 207-12.
3. Svenmarker S, Haggmark S, Janssen E, Lindholm R, Appelblad M, Aberg T. The relative safety of an oxygenator. Perfusion 1997; 12: 289-92.
4. Palanzo DA, Manley NJ, Montesano RM et al. Potential problem when using the new lower-prime hollow fibre membrane oxygenators with uncoated stainless steel heat exchangers. Perfusion 1996; 11: 481-85.
5. Zaroff LI, Kreel I, Kavee DJ et al. Mechanical failure during extracorporeal circulation: a method for prevention. Surgery 1959; 45: 645-47.
6. Underwood S, Widmer S, Butler B et al. Power failure and the pump: how effective is manual operation? J Extra Corpor Technol 1987; 19: 365-68.
7. Hargrove M, O'Brien D, Aherne T. Failure of electrical mains and backup generator supply during cardiopulmonary bypass. J Extra Corpor Technol 1989; 21: 28-29.
8. Troianos CA. Complete electrical failure during cardiopulmonary bypass. Anesthesiology 1995; 82: 298-302.
9. Kiran S, Lohchab SS. Total electricity failure during cardiopulmonary bypass. Ann Card Anaesth 2002; 5: 88-89.
10. Mills NL, Ochsner JL. Massive air embolism during cardiopulmonary bypass: causes, prevention and management. J Thorac Cardiovasc Surg 1980; 80: 708-17.
11. Morimura K, Suehiro S, Shibata T, Minamimura H, Hattori K, Kinoshita H. Case of massive air embolism during cardiopulmonary bypass. Nippon Kyobu Geka Gakkai Zasshi 1995; 43: 1059-62.
12. Berkowitz DE. Inspection and preventive maintenance of cardiopulmonary perfusion equipment and an overview of problems. J Extra Corpor Technol 1980; 12: 68-70.
13. Kurusz M, Crane TN, Speer D. Preventive maintenance of heart-lung machines. Proc Am Acad Cardiovasc Perfusion 1985; 6: 34-37.
14. Stoney WS, Alford WC Jr, Burrus GR et al. Air embolism and other accidents using pump oxygenators. Ann Thorac Surg 1980; 29: 336-40.
15. Wheeldon DR. Can cardiopulmonary bypass be a safe procedure? In Longmore DB ed. Towards safer cardiac surgery. Lancaster: MTP Press, 1981: 427-46.
16. Wheeldon DR. Safety during cardiopulmonary bypass. In Proceedings First World Congress on Open Heart Technology. London: Franklin Scientific Projects, 1981: 27-29.
17. Kurusz M, Conti VR, Arens JF, Brown JP, Faulkner SC, Manning JV Jr. Perfusion accident survey. Proc Am Acad Cardiovasc Perfusion 1986; 7: 57-65.
18. Jenkins OF, Morris R, Simpson JM. Australasian perfusion incident survey. Perfusion 1997; 12: 279-88.
19. Mejak BL, Stammers AH, Rauch E, Vang S, Viessman T. A retrospective study on perfusion accidents and safety devices. Perfusion 2000; 15: 51-61.
20. Kurusz M, Wheeldon DR. Perfusion safety. Perfusion 1988; 3: 97-112.
21. Kurusz M. Lessons from perfusion surveys. Perfusion 1997; 12: 221-27.
22. Palanzo DA. Perfusion safety: past, present and future. J Cardiothorac Vasc Anesth 1997; 11: 383-90.
23. Mortensen JD, Yates WG, Schoenberg AA et al. Final report: Cardiopulmonary bypass systems: a study of safety and performance. TR 5534-010, Contract 223-80-5081, Salt Lake City, UT, University of Utah Research Institute, April 1981.
24. Mortensen JD. Potential methods for controlling risks and hazards of CPB devices. Proc Am Acad Cardiovasc Perfusion 1981; 2: 57-68.
25. Stofer RC. The hidden hazards of perfusion. Proc Am Acad Cardiovasc Perfusion 1982; 3: 46-48.
26. Schabel RK, Berryessa RG, Justison GA et al. Ten common perfusion problems: prevention and treatment protocols. J Extra Corpor Technol 1987; 19: 392-98.
27. Boothman BR. Dangers of cardiopulmonary bypass operation. Br Med J 1989; 298: 254-55.
28. Christman EW, Kurusz M. Preventing massive gas embolism during cardiopulmonary bypass: a review of safety devices. J Extra Corpor Technol 1980; 12: 115-19.
29. Hill AG, Lefrak EA. Cardiopulmonary bypass safety devices and techniques. Proc Am Acad Cardiovasc Perfusion 1985; 6: 38-42.
30. Kriewall TJ. Safety systems in perfusion: practices, philosophy and products. Perfusion Life 1994; 11: 18-23.
31. Kurusz M, Wheeldon DR. Risk containment during cardiopulmonary bypass. Semin Thorac Cardiovasc Surg 1990; 2: 400-409.
32. Stammers AH, Mejak BL, Rauch ED, Vang SN, Viessman TW. Factors affecting perfusionists' decisions on equipment utilization: results of a United States survey. J Extra Corpor Technol 2000; 32: 4-10.
33. Stammers AH, Mejak BL. An update on perfusion safety: does the type of perfusion practice affect the rate of incidents related to cardiopulmonary bypass? Perfusion 2001; 16: 189-98.
34. Anonymous. Perfusion practice: a report on AmSECT's survey. Perfusion Life 1986; 3: 18-23.
35. Anonymous. Perfusion practice survey, September 1993. Perfusion Life 1994; 11: 42-45.
36. Miller DW Jr, Binford JM, Hessel EA II. Results of a survey of the professional activities of 811 cardiopulmonary perfusionists. J Thorac Cardiovasc Surg 1982; 83: 385-89.
37. Svenmarker S, Haggmark S, Jansson E, Benze S. Scandinavian cardiopulmonary bypass safety. Scan-MAG 1991; 3: 19-21.
38. Cockroft S. Use of monitoring devices during anesthesia for cardiac surgery: a survey of practices at public hospitals within the United Kingdom and Ireland. J Cardiothorac Vasc Anesth 1994; 8: 382-85.
39. Utley JR. San Diego Cardiopulmonary Bypass Symposium, 1995 survey, Centrifugal pumps. Cardiothoracic Research and Education Foundation, Pathophysiology and techniques of cardiopulmonary bypass XVI, course syllabus, 1996.
40. Kolff J, Ankney RN, Wurzel D, Devineni R. Centrifugal pump failures. Cardiothoracic Research and Education Foundation, Pathophysiology and techniques of cardiopulmonary bypass XVI, 1996 (abstract).
41. Groom RC, Hill AG, Akl BF, Lefrak EA, Kurusz M. Pediatric perfusion survey. Proc Am Acad Cardiovasc Perfusion 1990; 11: 78-84.
42. Groom RC, Hill AG, Kurusz M et al. Paediatric perfusion practice in North America: an update. Perfusion 1995; 10: 393-401.
43. American Society of Extra-Corporeal Technology. Standards of practice: recommended minimum standards, permanent perfusion records. J Extra Corpor Technol 1978; 10: 46.
44. American Academy of Cardiovascular Perfusion. Standards of practice: a statement of the American Academy of Cardiovascular Perfusion. Proc Am Acad Cardiovasc Perfusion 1987; 8: 272-74.
45. American Society of Extra-Corporeal Technology. Prebypass perfusion safety checklist. Perfusion Life 1990; 7: 76-77.
46. American Society of Extra-Corporeal Technology. Perfusion scope of practice. Perfusion Life 1991; 8: 7.
47. American Society of Extra-Corporeal Technology. Guidelines for perfusion practice. Perfusion Life 1995; 12: 20-22.