Gregory S. Matte

Perfusion for Congenital Heart Surgery (eBook, ePUB)

Notes on Cardiopulmonary Bypass for a Complex Patient Population

• Format: ePub

Produktbeschreibung

A complete guide to the tools and techniques for modeling, simulating, and optimizing SSFE processes and phenomena In 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 industries * Explorations of the concepts and methodologies for modeling, simulation, and optimization of SSFE, including conservation laws related to SSFE traditional first principle modeling * Practical discussions of the characteristics and physical properties of palm oil as a solute and descriptions of some existing palm oil industrial processes * An examination of first principle methodology as applied to the modeling of the properties of palm oil components and mixtures Perfect 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.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 208
• Erscheinungstermin: 26. Februar 2015
• Englisch
• ISBN-13: 9781118900789
• Artikelnr.: 42676344

Autorenporträt

GREGORY S. MATTE Perfusion Clinical Coordinator (Co-Chief) Boston Children's Hospital, Boston, MA, USA

Inhaltsangabe

Foreword x Preface xi Acknowledgments xii 1 Equipment for bypass 1
Oxygenators 1 Arterial line filters 12 Tubing packs 13 Cardioplegia systems
16 The heart-lung machine 17 The heater-cooler system 19 Cannulae 20 2
Priming the bypass circuit 27 Prime constituents 27 Steps for priming 28 3
The bypass plan 33 Communication agreement for case 33 Anticoagulation
management 35 Blood gas management 40 Carbon dioxide management 40
Oxygenation strategy 42 Hematocrit management 45 Blood pressure management
47 Temperature management 49 Flow rates regional perfusion and hypothermic
circulatory arrest 52 Methods of ultrafiltration 55 Before bypass 55 On
bypass 55 After bypass 56 SMUF specifications 59 Standard and augmented
venous return 60 Standard venous return with gravity siphon drainage 60
Augmented venous return 60 The prebypass checklist 63 The surgical safety
checklist for congenital heart surgery 65 4 Typical phases of
cardiopulmonary bypass 72 Commencement of bypass 72 Standard support phase
of bypass 74 Termination of bypass 76 Post bypass 78 5 Additional notes
based on bypass tasks 79 Prebypass 79 Heart-lung machine (HLM) 79
Reoperations 79 Cannulation 79 Transfusion during cannulation 80 On bypass
80 Verification of adequate drainage when caval tapes are used 80 Blood gas
management 80 Cardioplegia delivery 81 Planned circulatory arrest 81
Induced ventricular fibrillation 82 Administration of blood products 82
Atrial line placement 82 LV vent placement 83 Bed rotation during bypass 83
6 Bypass considerations based on diagnosis 85 Anomalous coronary arteries
86 Aortic regurgitation/insufficiency 89 Aortic stenosis 91 Aortopulmonary
collaterals 93 Aortopulmonary window 95 Atrial septal defect 96
Cardiomyopathy requiring orthotopic heart transplantation 99 Coarctation of
the aorta 100 Common atrioventricular canal defect 102 Cor triatriatum 104
Corrected transposition of the great arteries (L-TGA Levo-TGA or C-TGA) or
congenitally corrected TGA 105 Critical aortic stenosis 107 Double
chambered right ventricle 109 Double inlet left ventricle 110 Double outlet
left ventricle 111 Double outlet right ventricle 112 Ebstein's anomaly 113
Hypoplastic left heart syndrome 114 Stage 1 (Norwood) procedure 115 Hybrid
stage 1 palliation 117 Stage 2 or bidirectional Glenn shunt 117 Fontan
procedure (total cavopulmonary anastomosis) 119 Interrupted aortic arch 121
Left superior vena cava 123 Lung transplantation 124 Mitral
regurgitation/insufficiency 125 Mitral stenosis 126 Patent ductus
arteriosus 127 Pulmonary artery abnormalities 128 Pulmonary atresia 129
Pulmonary atresia with an intact ventricular septum 129 Pulmonary atresia
with ventricular septal defect 130 Pulmonary regurgitation/insufficiency
132 Pulmonary stenosis 133 Pulmonary vein stenosis or pulmonary venous
obstruction 134 Tetralogy of Fallot 136 Total anomalous pulmonary venous
return and partial anomalous pulmonary venous return 138 d-Transposition of
the great arteries 140 Tricuspid atresia 142 Tricuspid
regurgitation/insufficiency 143 Truncus arteriosus 144 Ventricular septal
defect 146 7 Notes on select issues during bypass 148 Blood pressure higher
than expected 148 Blood pressure lower than expected 149 Bypass circuit
pressure higher than expected 151 Bypass circuit pressure lower than
expected 152 Central venous pressure elevated 153 Heat exchange issue (slow
cooling or warming) 154 NIRS values lower than expected 155 PaCO2 higher
than expected 157 PaCO2 lower than expected 159 PaO2 lower than expected
160 Reservoir volume acutely low 161 8 Notes on select emergency procedures
during bypass 163 Arterial pump failure (roller head) 164 Failure to
oxygenate 165 Massive air embolization 166 Acute aortic dissection at the
initiation of bypass 168 Venous air lock 169 Inadvertent arterial
decannulation 170 Inadvertent venous decannulation 171 9 Brief overview of
named procedures and terms 172 Alfieri stitch 172 Batista procedure 172
Bentall procedure 172 Bidirectional Glenn shunt 172 Blalock-Hanlon
procedure 172 Blalock-Taussig shunt (BTS) 173 Brock procedure 173 Central
shunt 173 Cone procedure 173 Cox maze procedure 173 Damus-Kaye-Stansel
anastomosis 173 Double switch procedure 173 Fontan procedure 174 Gott shunt
174 Hemi-Fontan procedure 174 Holmes heart 174 Jatene operation 174
Kawasaki disease 174 Kawashima procedure 175 (Diverticulum of) Kommerell
175 Konno procedure 175 LeCompte maneuver 175 LeCompte procedure 175
Manougian procedure 175 Marfan's syndrome 175 Maze procedure 175 Mustard
procedure 176 Nicks procedure 176 Nikaidoh procedure 176 Noonan syndrome
176 Norwood operation 176 Pannus 176 Pentalogy of Cantrell 176 Potts shunt
177 Rashkind procedure 177 Rastelli operation 177 Ross procedure 177 Sano
shunt 177 Scimitar syndrome 177 Senning operation 177 Shone's complex 178
Takeuchi procedure 178 Taussig-Bing anomaly 178 Trusler repair 178 Van
Praagh classification 178 Warden procedure 178 Waterston shunt 178 Williams
syndrome 178 Yasui procedure 179 10 Abbreviations for congenital heart
surgery 180 11 Recommended reference books 186 12 Comprehensive
experience-based equipment selection chart select medications administered
during bypass 187 Index 190