title: [What should no longer be seen when performing a CPB].
abstract: Cardiac surgery and cardiopulmonary bypass (CPB) have made significant progress in recent years. Despite these efforts, adverse events continue to occur during surgery. From recent studies of incidents and accidents during CPB, this article focuses on critical recommendations to respect when in charge of a CPB. Some facts are based only on data unsupported by scientific research. Others have not proven their benefit in terms of postoperative morbidity or mortality. The management of anticoagulation, hematocrit, pump flow, and the temperature is discussed. Finally, the importance of teamwork especially in terms of cohesion and communication is highlighted.
authors.affiliation: Infirmerie protestante de Lyon, 1, chemin du Penthod, 69300 Caluire, France. Electronic address: jp.lancon@orange.fr.
authors.forename: J-P
authors.initials: JP
authors.lastname: Lançon
mesh_terms: D001777:Blood Coagulation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D057189:Checklist; D006438:Hemodilution; D006801:Humans; D007022:Hypotension / Q000628:therapy; D007431:Intraoperative Complications / Q000628:therapy
keywords: Cardiopulmonary bypass; Chirurgie cardiaque; Circulation extracorporelle (CEC); Coagulation; Débit; Hematocrit; Hématocrite; Pression; Pressure; Pump flow; Team; Équipe