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    Key Questions in Congenital Cardiac Surgery

    Uploaded by

    Mohamed Salah
    The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.

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    Key Questions in Congenital Cardiac Surgery

    Uploaded by

    Mohamed Salah
    293 views1,228 pages
    The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.

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    The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    293 views1,228 pages

    Key Questions in Congenital Cardiac Surgery

    Uploaded by

    Mohamed Salah
    The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Key Q � "'l CO"IG NITA C-ARC AC SURCE-1,(v'

    Figure 7. Centrifugal pump mounted on the rotating


    magnetic device, with the mandatory back-up device
    adjacent for immediate transfer of the propeller.

    1 0 What are the main factors affecting extracorporeal


    c- ,.. g on Im
    • The pump provides a blood flow rate (Umin) delivered at a given
    amount of revolutions per minute (rpm).
    • Factors that can affect the blood flow rate include:

    a) preload and afterload;


    b) size of the cannulae;
    c) size of the cannulated vessels and compliance;
    d) body surface area (BSA) of the patient;
    e) haematocrit;
    f) transmembrane gradient (which represents the pressure
    gradient across the oxygenator).

    • The pump generates a negative pressure on the patient's venous


    side, which drives the flow rate, as it provides the inflow into the
    propeller.
    • Past the point of maximal inflow, the negative pressure in the venous
    system causes the venous vessels or the right atrial wall to
    temporarily collapse, potentially occluding blood inflow altogether.
    • When the pressure in the venous side builds back up again, the
    pump is able to flow again, which might generate a pulsing blood
    flow and cavitation of the pump.
    • The first intervention to avoid further cavitation is to reduce the pump
    rpm and therefore the suction effect on the venous return.

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