This review provides an overview of the bypass circuit, anesthetic management, and strategies to mitigate the inflammatory response during cardiopulmonary bypass.
Offers synthesis of CPB management; leaves open optimal anti-inflammatory strategies pending prospective trials.
Cardiopulmonary bypass has revolutionized the practice of cardiac surgery and allows safe conduct of increasingly complex cardiac surgery. A brief review of the bypass circuit is undertaken in this review. A more thorough review of the anesthetic management is accomplished including choice of anesthetic medications and their effects. The inflammatory response to cardiopulmonary bypass is reviewed along with interventions that may help ameliorate the inflammation.
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Bechtel et al. (2014) studied this question.
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