Dutch perfusion incident survey

Perfusion
Ingrid GroenenbergJos G Maessen

Abstract

Cardiopulmonary bypass procedures remain complex, involving many potential risks. Therefore, a nationwide retrospective study was conducted to gain insight into the number of incidents and accidents in Dutch adult perfusion practice. An anonymous postal survey (85 questions about hardware, disposables, fluids and medication, air emboli, anticoagulation, practice, and safety measures) was sent to all Dutch perfusionists involved in adult cardiovascular perfusion during 2006 and 2007. To guarantee complete anonymity, respondents were asked to return the survey to a notary who discarded personal information. The net response rate was 72% and covered 23,500 perfusions. Individual respondents performed 240 ± 103 perfusions during the 2-year study period and had 13.8 ± 8.7 years of practical experience. The incident rate was 1 per 15.6 perfusions and the adverse event rate was 1 per 1,236 perfusions. The three most reported incidents were: (1) persistent inability to raise the activated coagulation time above 400s during perfusion (184 incidents); (2) an allergic or anaphylactic reaction to drugs, fluids, or blood products (114 incidents); and (3) clotting formation in the extracorporeal circuit (74 incidents). Furthermore, pre-bypas...Continue Reading

References

Sep 23, 1997·Perfusion·O F JenkinsJ M Simpson
Jan 20, 2000·Journal of the National Cancer Institute·A BrinkmanL C Dorssers
Feb 17, 2000·Perfusion·B L MejakT Viessman

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Citations

Jun 14, 2013·Journal of Cardiothoracic Surgery·Yvonne BoschBaheramsjah Mochtar
Mar 13, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·J-P Lançon
Oct 3, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander WahbaUNKNOWN EACTS/EACTA/EBCP Committee Reviewers
Oct 4, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Harish RamEugene A Hessel

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