PREVENTION OF COMPLICATIONS AFTER SURGERY WITH CARDIOPULMONARY BYPASS
https://doi.org/10.17802/2306-1278-2016-3-117-123
Abstract
Cardiopulmonary bypass is known to cause a systemic inflammatory response. Strategies to curb systemic inflammation have been previously described. However, none of them is adequate. Improved patient outcomes are strongly associated with surgical technique (offpump coronary artery bypass), cardiopulmonary bypass modalities or drug strategies. The aim of the present digest of modern systematic reviews and meta-analysis is to discuss the main key points about the main principles in cardiopulmonary bypass curbing inflammation.
About the Author
A. S. Radivilko
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
For correspondence: Radivilko Artem Address: 6, Sosnoviy blvd.,Kemerovo, 650002, Russian Federation Tel.: +7 (3842) 64-33-94 E-mail: radar-79@mail.ru
References
1. Phan K., Tian D., Cao C., Black D., Yan T. Systematic review and meta-analysis: techniques and a guide for the academic surgeon. Ann. Cardiothorac. Surg. 2015; 4 (2): 112–122. DOI: 10.3978/j.issn.2225-319X.2015.02.04.
2. Parissis H., Lau M. C., Parissis M., Lampridis S., Graham V., Al-Saudi R. and al. Current randomized control trials, observational studies and meta analysis in off-pump coronary surgery. J. Cardiothorac. Surg. 2015; 10: 185. DOI: 10.1186/ s13019-015-0391-x.
3. Ueki C., Sakaguchi G., Akimoto T., Ohashi Y., Sato H. On-pump beating-heart technique is associated with lower morbidity and mortality following coronary artery bypass grafting: a meta-analysis. Eur. J. Cardiothorac. Surg. 2016; 129. DOI: 10.1093/ejcts/ezw129.
4. Zhang Y., Zeng Z., Cao Y., Du X., Wan Z. Effect of Urinary Protease Inhibitor (Ulinastatin) on Cardiopulmonary Bypass: A Meta-Analysis for China and Japan. PLoS One. 2014; 9 (12): 113973. DOI: 10.1371/journal.pone.0113973.
5. Chai Q., Liu J. Early stage effect of ischemic preconditioning for patients undergoing on-pump coronary artery bypass grafts surgery: systematic review and meta-analysis. Pak. J. Med. Sci. 2014; 30 (3): 642–648. DOI: 10.12669/pjms.303.4292.
6. Kumar A. B., Suneja M., Bayman E. O., Weide G. D., Tarasi M. Association between postoperative acute kidney injury and duration of cardiopulmonary bypass: a meta-analysis. J. Cardiothorac. Vasc. Anesth. 2012; 26 (1): 64–69. DOI: 10.1053/j.jvca.2011.07.007.
7. Zeng J., He W., Qu Z., Tang Y., Zhou Q., Zhang B. Cold blood versus crystalloid cardioplegia for myocardial protection in adult cardiac surgery: a meta-analysis of randomized controlled studies. J. Cardiothorac. Vasc. Anesth. 2014; 28 (3): 674–681. DOI: 10.1053/j.jvca.2013.06.005.
8. Tie H., Luo M., Luo M., Zhang M., Wu Q., Wan J. Sodium bicarbonate in the prevention of cardiac surgery-associated acute kidney injury: a systematic review and meta-analysis. Crit. Care. 2014; 18 (5): 517. DOI: 10.1186/s13054-014-0517-x.
9. Jacob M., Fellahi J., Chappell D., Kurz A. The impact of hydroxyethyl starches in cardiac surgery: a meta-analysis. Crit. Care. 2014; 18 (6): 656. DOI: 10.1186/s13054-014-0656-0.
10. Haga K., McClymont K., Clarke S., Grounds R., Ying K., Glyde D. et al. The effect of tight glycaemic control, during and after cardiac surgery, on patient mortality and morbidity: A systematic review and meta-analysis. J. Cardiothorac. Surg. 2011; 6: 3. DOI: 10.1186/1749-8090-6-3.
11. Li F., Yuan Y. Meta-analysis of the cardioprotective effect of sevoflurane versus propofol during cardiac surgery. BMC Anesthesiol. 2015; 15: 128. DOI: 10.1186/s12871-0150107-8.
Review
For citations:
Radivilko A.S. PREVENTION OF COMPLICATIONS AFTER SURGERY WITH CARDIOPULMONARY BYPASS. Complex Issues of Cardiovascular Diseases. 2016;(3):117-123. (In Russ.) https://doi.org/10.17802/2306-1278-2016-3-117-123
Views:
2064
