Retrospective Analysis of Bypass-Related Complications at Iran's Cardiovascular Surgical Centers
- سال انتشار: 1401
- محل انتشار: مجله پزشکی قلب و قفسه سینه، دوره: 10، شماره: 4
- کد COI اختصاصی: JR_JCTM-10-4_004
- زبان مقاله: انگلیسی
- تعداد مشاهده: 158
نویسندگان
Department of Anesthesiology, Lung Diseases Research Center, School of Medicine, Mashhad University of Medical Science , Mashhad, Iran.
Department of Cardiac Surgery, Baqiyatallah Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Medicine, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran Univesity of Medical Siences , Tehran, Iran.
Department of Perfusion Technology, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده
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 ۱۵۱ 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 ۱۶ was used to analyze all of the data.Result: ۱) venous obstruction and improper venous return had the highest recurrence rate of ۸۹.۴%, ۲) Removing the venous cannula and venting the venous path ۸۶.۸%, ۳) ۷۹.۵% were unable to raise (ACT) more than ۴۰۰. Most significant injuries were caused by clots or thrombi during CPB (۲.۶%), ۲) failure of the oxygenator (۲.۶%). Most deaths were caused by an air embolism (۵.۲۹).Conclusions: Although the occurrence of human errors and mechanical disturbances cannot be predicted, they can be mitigated by the sharing of accidents and mistakes.کلیدواژه ها
Cardiopulmonary machine, Human errors, Mechanical disturbances, cardiopulmonary accidentsاطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.