1382 cases of cardiopulmonary bypass temperature management of clinical research.docVIP

 PAGE \* MERGEFORMAT 12 1382 cases of cardiopulmonary bypass temperature management of clinical research [Keywords:] cardiopulmonary bypass hypothermia rewarming Abstract: OBJECTIVE To retrospect the clinical technique of temperature management during extracorporeal circulation (ECC). METHODS 1382 cases underwent open heart surgery with ECC were devided into three groups according to the lowest nasopharyneal temperature: mild hypothermia group (32 ℃ -35 ℃ ), moderate hypothermia group (26 ℃ -31 ℃ ) and deep hypothermia group (amp;lt;25 ℃ ). After the rectal temperature of all patients was rewarming to 36 ℃ , the difference of rewarming time and rewarming velocity among three groups was compared. RESULTS The lowest rectal temperature was (34.3 ± 0.7) ℃ in mild hypothermia group, (30.2 ± 2.5) ℃ in moderate hypothermia group and (18.7 ± 4.1) ℃ in deep hypothermia group. Average rewarming time was (11.3 ± 3.5) min, (28.5 ± 7.6) min and (74.3 ± 20.6) min, respectively. Average rewarming velocity was (0.42 ± 0.17) ℃ / min, (0.31 ± 0.09) ℃ / min and (0.21 ± 0.11) ℃ / min, respectively. These difference among three groups had statistical significance (P amp;lt;0.05). All patients recovered well after operation. No surgical death or neurologic complications occurred. CONCLUSION Rewarming time and velocity during ECC should be carefully considered according to the extent of hypothermia in order to avoid postoperative complications. Keywords:: Extracorporeal circulation; Hypothermia; Rewarming Cardiopulmonary bypass (extracorporeal circulation, ECC) technology in the field of application of more and more extensive surgery, different operations require different temperatures, flow rate are also different, in order to reduce the organ injury and postoperative complications, a good temperature should be strictly controlled. In particular the application of deep hypothermia, the rewarming process of low temperature technology is particularly important. In