A cardiopulmonary bypass score system to assess quality of perfusion performance

Détails

ID Serval
serval:BIB_CC4C4D0DA76A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
A cardiopulmonary bypass score system to assess quality of perfusion performance
Périodique
Perfusion
Auteur(s)
Jegger  D., Ruchat  P., Horisberger  J., Boone  Y., Pierrel  N., Seigneuil  I., von Segesser  L. K.
ISSN
0267-6591 (Print)
Statut éditorial
Publié
Date de publication
05/2001
Volume
16
Numéro
3
Pages
183-8
Notes
Journal Article --- Old month value: May
Résumé
During cardiopulmonary bypass, the perfusionist maintains physiological parameters laid down in protocols; this is his or her performance capability. In order to assess his or her performance we need to be able to analyse these physiological parameters objectively. We defined six parameters, pH, BE, PaCO2, PaO2, ACT and oesophageal temperature and gave them ideal values of 7.40+/-0.05, 0.0+/-2.5 mmol/l, 39.0+/-3.0 mmHg, 150+/-50 mmHg, 540+/-60 s and 37.2+/-0.2 degrees C, respectively. We established ranges and a score system: +/- one standard deviation of the mean for a score of zero; between +/- one and two standard deviations for a score of one; and greater than +/- two standard deviations for a score of two. We captured and analysed the most outlying value, with respect to known normal values, for each parameter recorded on the pump sheet. This was performed for 100 consecutive patients. Mean +/- standard deviation (medians) values for pH, BE, PaCO2, PaO2, ACT and oesophageal temperature were 7.41+/-0.07 (7.41), -1.85+/-2.37 mmol/l (-1.85 mmol/l), 34.6+/-5.42 mmHg (34.0 mmHg), 320+/-96.2 mmHg (317 mmHg), 558+/-164 s (503 s) and 37.3+/-0.5 degrees C (37.4 degrees C), respectively. We then analysed what percentage of our 100 patients fell within each score range for each of the six parameters. This is an efficient means in analysing whether the perfusionist abides by the protocols, what quality is supplied to the patient, does he or she react when he or she is faced with parameters that are out of range and finally advocating in-line blood gas monitoring. This is another step towards our goal of total quality management.
Mots-clé
Blood Gas Analysis Body Temperature Cardiopulmonary Bypass/*standards Esophagus Extracorporeal Circulation/*standards Female Humans Hydrogen-Ion Concentration Male Middle Aged Monitoring, Intraoperative/standards Monitoring, Physiologic *Quality Indicators, Health Care Total Quality Management
Pubmed
Web of science
Création de la notice
28/01/2008 10:39
Dernière modification de la notice
03/03/2018 21:28
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