Posts Tagged ‘heart fungtion’
Cardiac structure
The requirement for an open heart operation is thus the use of heart-lung machine, also called extracorporeal circulation or cardiopulmonary bypass, which is operated by a specially trained perfusionist. The device consists of several elements (oxygenator, roller pump, heat exchangers, filters, etc.) and a hose system that is connected with the patient. The HLM considers the circulation of the patient remain intact until the surgery was completed at the relevant cardiac structure.
Surgery Proses
After completion of surgery, the patient is monitored with the HLM again warmed to body temperature and blood flow to the heart released so that the heart itself begins to beat again. Normally this is a short process from a few minutes if the heart function is normal. The administered blood clotting inhibitor is now neutralized by antidotes. To control frequent postoperative arrhythmias better, temporary pacing wires are sewn onto the heart surface that are easily removed after 1 week. Furthermore, 2-4 drains are inserted to allow wound fluid and blood drain from the surgical field can (removal after 1-3 days). The sternal halves are approximated with 2mm thin wire cerclage and the skin layer by layer.