Failure to oxygenate during cardiopulmonary bypass; treatment options and intervention algorithm
2024

Handling Oxygenator Failure During Heart Surgery

publication Evidence: moderate

Author Information

Author(s): Matte Gregory S., Regan William L., Gadille Sarah I., Connor Kevin R., Boyle Sharon L., Fynn-Thompson Francis E.

Primary Institution: Boston Children’s Hospital

Hypothesis

Can alternative interventions improve outcomes during oxygenator failure in cardiopulmonary bypass?

Conclusion

The venous piggyback technique is a recommended first-line intervention for oxygenator failure during cardiopulmonary bypass.

Supporting Evidence

  • Oxygenator failure is a high-risk event that requires prepared intervention protocols.
  • The venous piggyback technique can provide time for clinical teams to decide on further interventions.
  • Institutional protocols and regular training improve outcomes during emergencies.

Takeaway

When a machine that helps oxygenate blood during heart surgery fails, doctors can use a backup method to keep the patient safe until they can fix it.

Methodology

The study reviews intervention options and updates protocols based on recent experiences with oxygenator failure during cardiopulmonary bypass.

Limitations

The study is based on institutional experiences and may not be generalizable to all settings.

Digital Object Identifier (DOI)

10.1051/ject/2024026

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