Perfusion for Congenital Heart Surgery

Notes on Cardiopulmonary Bypass for a Complex Patient Population

Inbunden, Engelska, 2015

Av Gregory S. Matte, USA) Matte, Gregory S. (Boston Children’s Hospital, Boston, MA, Gregory S Matte

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A complete guide to the tools and techniques for modeling, simulating, and optimizing SSFE processes and phenomenaIn Modeling, Simulation, and Optimization of Supercritical and Subcritical Fluid Extraction Processes, a team of expert chemical engineers delivers a comprehensive guide to the tools and techniques used to model supercritical and subcritical fluid extraction (SSFE) processes and phenomena. The book offers details on SSFE experiment management, as well as modeling and optimization of SSFE. The authors begin with a discussion of the fundamentals of SSFE and the necessary experimental techniques to validate the models. They also discuss process simulators, conventional optimization techniques, and state-of-the-art genetic algorithm methods. Several practical examples and case studies on SSFE modeling and optimization techniques are provided. Additionally, detailed thermodynamic modeling with and without co-solvent and non-equilibrium system modeling are covered. Readers will also find: A detailed overview of the field of supercritical and subcritical fluid extraction and their importance to the food, cosmetics, and pharmaceutical industriesExplorations of the concepts and methodologies for modeling, simulation, and optimization of SSFE, including conservation laws related to SSFE traditional first principle modelingPractical discussions of the characteristics and physical properties of palm oil as a solute and descriptions of some existing palm oil industrial processesAn examination of first principle methodology as applied to the modeling of the properties of palm oil components and mixturesPerfect for researchers, scientists, technologists, and engineers working in food science and the pharmaceutical, cosmetic, and agricultural industries, Modeling, Simulation, and Optimization of Supercritical and Subcritical Fluid Extraction Processes is also a must-read for those working with process design, development, quality control, and improvement in the chemical industries.

Produktinformation

Utgivningsdatum2015-05-15
Mått206 x 272 x 18 mm
Vikt839 g
FormatInbunden
SpråkEngelska
Antal sidor208
FörlagJohn Wiley and Sons Ltd
ISBN9781118900796

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Foreword, xPreface, xiAcknowledgments, xii1 Equipment for bypass, 1Oxygenators, 1Arterial line filters, 12Tubing packs, 13Cardioplegia systems, 16The heart–lung machine, 17The heater-cooler system, 19Cannulae, 202 Priming the bypass circuit, 27Prime constituents, 27Steps for priming, 283 The bypass plan, 33Communication agreement for case, 33Anticoagulation management, 35Blood gas management, 40Carbon dioxide management, 40Oxygenation strategy, 42Hematocrit management, 45Blood pressure management, 47Temperature management, 49Flow rates, regional perfusion, and hypothermic circulatory arrest, 52Methods of ultrafiltration, 55Before bypass, 55On bypass, 55After bypass, 56SMUF specifications, 59Standard and augmented venous return, 60Standard venous return with gravity siphon drainage, 60Augmented venous return, 60The prebypass checklist, 63The surgical safety checklist for congenital heart surgery, 654 Typical phases of cardiopulmonary bypass, 72Commencement of bypass, 72Standard support phase of bypass, 74Termination of bypass, 76Post bypass, 785 Additional notes based on bypass tasks, 79Prebypass, 79Heart–lung machine (HLM), 79Reoperations, 79Cannulation, 79Transfusion during cannulation, 80On bypass, 80Verification of adequate drainage when caval tapes are used, 80Blood gas management, 80Cardioplegia delivery, 81Planned circulatory arrest, 81Induced ventricular fibrillation, 82Administration of blood products, 82Atrial line placement, 82LV vent placement, 83Bed rotation during bypass, 836 Bypass considerations based on diagnosis, 85Anomalous coronary arteries, 86Aortic regurgitation/insufficiency, 89Aortic stenosis, 91Aortopulmonary collaterals, 93Aortopulmonary window, 95Atrial septal defect, 96Cardiomyopathy requiring orthotopic heart transplantation, 99Coarctation of the aorta, 100Common atrioventricular canal defect, 102Cor triatriatum, 104Corrected transposition of the great arteries (L-TGA, Levo-TGA, or C-TGA) or congenitally corrected TGA, 105Critical aortic stenosis, 107Double chambered right ventricle, 109Double inlet left ventricle, 110Double outlet left ventricle, 111Double outlet right ventricle, 112Ebstein’s anomaly, 113Hypoplastic left heart syndrome, 114Stage 1 (Norwood) procedure, 115Hybrid stage 1 palliation, 117Stage 2 or bidirectional Glenn shunt, 117Fontan procedure (total cavopulmonary anastomosis), 119Interrupted aortic arch, 121Left superior vena cava, 123Lung transplantation, 124Mitral regurgitation/insufficiency, 125Mitral stenosis, 126Patent ductus arteriosus, 127Pulmonary artery abnormalities, 128Pulmonary atresia, 129Pulmonary atresia with an intact ventricular septum, 129Pulmonary atresia with ventricular septal defect, 130Pulmonary regurgitation/insufficiency, 132Pulmonary stenosis, 133Pulmonary vein stenosis or pulmonary venous obstruction, 134Tetralogy of Fallot, 136Total anomalous pulmonary venous return and partial anomalous pulmonary venous return, 138d-Transposition of the great arteries, 140Tricuspid atresia, 142Tricuspid regurgitation/insufficiency, 143Truncus arteriosus, 144Ventricular septal defect, 1467 Notes on select issues during bypass, 148Blood pressure higher than expected, 148Blood pressure lower than expected, 149Bypass circuit pressure higher than expected, 151Bypass circuit pressure lower than expected, 152Central venous pressure elevated, 153Heat exchange issue (slow cooling or warming), 154NIRS values lower than expected, 155PaCO2 higher than expected, 157PaCO2 lower than expected, 159PaO2 lower than expected, 160Reservoir volume acutely low, 1618 Notes on select emergency procedures during bypass, 163Arterial pump failure (roller head), 164Failure to oxygenate, 165Massive air embolization, 166Acute aortic dissection at the initiation of bypass, 168Venous air lock, 169Inadvertent arterial decannulation, 170Inadvertent venous decannulation, 1719 Brief overview of named procedures and terms, 172Alfieri stitch, 172Batista procedure, 172Bentall procedure, 172Bidirectional Glenn shunt, 172Blalock–Hanlon procedure, 172Blalock–Taussig shunt (BTS), 173Brock procedure, 173Central shunt, 173Cone procedure, 173Cox maze procedure, 173Damus–Kaye–Stansel anastomosis, 173Double switch procedure, 173Fontan procedure, 174Gott shunt, 174Hemi–Fontan procedure, 174Holmes heart, 174Jatene operation, 174Kawasaki disease, 174Kawashima procedure, 175(Diverticulum of) Kommerell, 175Konno procedure, 175LeCompte maneuver, 175LeCompte procedure, 175Manougian procedure, 175Marfan’s syndrome, 175Maze procedure, 175Mustard procedure, 176Nicks procedure, 176Nikaidoh procedure, 176Noonan syndrome, 176Norwood operation, 176Pannus, 176Pentalogy of Cantrell, 176Potts shunt, 177Rashkind procedure, 177Rastelli operation, 177Ross procedure, 177Sano shunt, 177Scimitar syndrome, 177Senning operation, 177Shone’s complex, 178Takeuchi procedure, 178Taussig–Bing anomaly, 178Trusler repair, 178Van Praagh classification, 178Warden procedure, 178Waterston shunt, 178Williams syndrome, 178Yasui procedure, 17910 Abbreviations for congenital heart surgery, 18011 Recommended reference books, 18612 Comprehensive experience-based equipment selection chart select medications administered during bypass, 187Index, 190