EXTRACORPOREAL CIRCULATION IN SURGERY

NAME:
DAVID ALBERTO JONES PARDO

CODE:
01200021024

PRACTICE ICB

UNIVERSIDAD DE SANTANDER, BUCARAMANGA

INSTRUMENTACION QUIRURGICA
2023
 THE EXTRACORPOREAL
CIRCULATION MACHINE IS THE
MOST IMPORTANT EQUIPMENT
WHEN A PATIENT IS GOING TO
INTERVENE AND THIS REQUIRES
SUBJECTING THE HEART TO A
PROCESS CALLED PUMP

THE PUMP BASICALLY CONSISTS OF DERIVING THE BLOOD CIRCULATION OF A PATIENT THROUGH THE
USE OF CANNULAS AND MULTIPLE CONNECTION SYSTEMS THAT CARRY ALL THE BLOOD FLOW TO THE
EXTRACHOROPOREAL CIRCULATION MACHINE, THIS MACHINE IS IN CHARGE OF FULFILLING THE
FUNCTIONS OF THE HEART AND LUNGS, IT WILL FILTER, OXYGENATE AND REMOVE CO2 FROM THE
BLOOD, BRINGING IT BACK TO THE BODY

THE WHOLE SYSTEM OF TUBES AND

CONNECTIONS, ROOT SUCTION AND
CAVITIES IS PREPARED

THE LINEA ARTERIOSA

THE VENOUS LINE

OXYGENATION

CONNECTIONS USED

• 1 1/4 STRAIGHT CONNECTION

• 1 1/4 Y CONNECTION
• 1 STRAIGHT CONNECTION WITH 3/4 LUER
• 1 STRAIGHT CONNECTION WITH 1/4 LUER
• 2 3-WAY SYSTEMS
• 1 MALE-MALE CONNECTION EXTENSION

WE PREPARE AND CALIBRATE THE ROLLERS OF THE MACHINE, THIS IS DETERMINED BY THE OCCLUSION
THAT IT GENERATES

FOR THE PURGE OF THE MACHINE WE USE 5% RINGER LACTATE WITH 10000 HEPARIN UNITS (2 CC)

FOR CARDIOPLEGIA, THE INFUSION PUMP AND A BURETROL ARE PREPARED WITH THE FOLLOWING
(THIS VARIES ACCORDING TO EACH PATIENT)
USED

RINGER'S LACTATE 5%

• 19 CC OF DEXTROSE
• 3 AMPOULES OF POTASSIA
• 1 AMPOULE OF MAGNESIUM

PREPARING FOR CARDIOPLEGIA IS VERY IMPORTANT BECAUSE IT WILL BE THE MOST IMPORTANT
FACTOR FOR THE DEVELOPMENT OF THE SURGERY BECAUSE IT WILL MAKE THE ARREST AND PROTECT
THE HEART

4.8 BLOOD FLOW

1.92 BODY SURFACE

5.6 HEPARIN =28000 units

EXTRACORPOREAL CIRCULATION TIMER

1. MEASURE THE START OF THE PUMP

2, MEASURE THE ARTERIAL CLAMP

3. MEASURES CARDIOPLEGIA (CARDIOPLEGIA IS APPLIED EVERY 20 MIN, THIS MAY VARY THE
PROCEDURE)
GAS READING

EVERY 25 TO 30 MIN THE

PERFUSIONIST TAKES A BLOOD
SAMPLE TO PERFORM A
READING OF THE BLOOD,
HOW IS ITS SATURATION AND
OTHER DIFFERENT
PROPERTIES OF THE BLOOD
TO PROCURE AND MAINTAIN
THE PATIENT IN A STABLE
STATE