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Goal-directed perfusion during cardiopulmonary bypass involves the integration of different metabolic parameters that have a direct and indirect linear correlation.
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Graphical mapping of metabolic parameter interactions during CPB supports individualized goal-directed perfusion; leaves open prospective validation before practice change.
Metabolism management plays an essential role during cardiopulmonary bypass (CPB). There are different metabolic-management devices integrated to heart–lung machines; the most commonly used and accepted metabolic target is indexed oxygen delivery (280 mL/min/m2) and cardiac index (2.4 L/min/m2), which can be managed independently or according to other metabolic parameters.1 During CPB, the realization of goal-directed perfusion involves the integration of different parameters that have a direct and indirect linear correlation.
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Ignazio Condello (2022) conducted a review in Cardiopulmonary bypass. Goal-directed perfusion was evaluated. Goal-directed perfusion during cardiopulmonary bypass involves the integration of different metabolic parameters that have a direct and indirect linear correlation.
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