Improving the safety of cardiopulmonary bypass duringheart surgery
L'Agence Nationale d'Accreditation d'Evaluation en Sante
Record ID 32005000449
French
Authors' objectives:
The objective of this review was to propose French guidelines on the monitoring and safety of cardiopulmonary bypass (CPB) in heart surgery.
Authors' results and conclusions:
(i) Technique: CPB is a complex and invasive perioperative technique which requires constant interaction between the anaesthetic, surgical and perfusion teams.
(ii) Safety: An American survey found that a CPB incident occurred once every 138 cases and a serious incident once every 1453 cases; there are no data for France.
(iii) Impact of monitoring on CPB-related morbidity and mortality: There are no clinical studies.
(iv) Practice: A 2003 survey showed that practice varies considerably in France.
(v) Guidelines: The report makes 41 grade C recommendations divided into 3 major areas: general conditions and recommendations, safety systems and safety measures, and parameters to be monitored.
Authors' recommendations:
Looking ahead:
(i) Establish the content of initial training and continuing medical education and define the status of CPB professionals.
(ii) Define the respective responsibilities of the health professionals (perfusionists, surgeons, anaesthetists/intensivists) who carry out and monitor CPB and deal with its after-effects.
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.has-sante.fr/
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
France
MeSH Terms
- Monitoring, Intraoperative
- Risk Management
- Safety
- Cardiopulmonary Bypass
Contact
Organisation Name:
L'Agence Nationale d'Accreditation d'Evaluation en Santé
Contact Address:
2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;
Contact Name:
sh.leerobin@has-sante.fr
Contact Email:
sh.leerobin@has-sante.fr
Copyright:
L'Agence Nationale d'Accreditation d'Evaluation en Sante (ANAES)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.