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- Title
Retrospective Analysis of Bypass-Related Complications at Iran's Cardiovascular Surgical Centers.
- Authors
Zirak, Nahid; Shafiei, Hamid; Ivraghi, Mehraveh Sadeghi; Jarahi, Lida; Rahimi, Hassan; Hassanabad, Zahra Ahmadi; Pakniat, Horrieh; Moghaddam, Shahrzad Maragheh
- Abstract
Introduction: In addition to the well-known benefits of cardiopulmonary bypass (CPB), there are also certain possible risks, some of which are avoidable and some of which are accidental. In addition to CPB, potentially life-threatening consequences include human error and mechanical disruptions. The purpose of this study is to conduct a retrospective analysis of CPB accidents in Iranian cardiovascular surgery departments. Methods: This study included 151 Iranian perfusionists who were evaluated using a questionnaire created by the researchers. The questionnaire recorded all participants' demographic information as well as their experiences with human errors (e.g., perfusionist fatigue and drowsiness; errors in CPB circuit arrangement; and so on) and mechanical disturbances (cooling-warming circuit, oxygenator failure, electrical disruption, and so on). SPSS Version 16 was used to analyze all of the data. Result: 1) venous obstruction and improper venous return had the highest recurrence rate of 89.4%, 2) Removing the venous cannula and venting the venous path 86.8%, 3) 79.5% were unable to raise (ACT) more than 400. Most significant injuries were caused by clots or thrombi during CPB (2.6%), 2) failure of the oxygenator (2.6%). Most deaths were caused by an air embolism (5.29). Conclusions: Although the occurrence of human errors and mechanical disturbances cannot be predicted, they can be mitigated by the sharing of accidents and mistakes.
- Subjects
IRAN; SURGICAL clinics; HUMAN error; RETROSPECTIVE studies; GAS embolism; CARDIOPULMONARY bypass; CARDIOVASCULAR surgery
- Publication
Journal of Cardio-Thoracic Medicine, 2022, Vol 10, Issue 4, p1078
- ISSN
2345-2447
- Publication type
Article