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Submitted: 21 Feb 2016
Revision: 29 May 2016
Accepted: 29 May 2016
ePublished: 28 Jun 2016
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J Cardiovasc Thorac Res. 2016;8(2): 72-76.
doi: 10.15171/jcvtr.2016.14
PMID: 27489600
PMCID: PMC4970574
  Abstract View: 1015
  PDF Download: 610

Original Article

Comparison of current practices of cardiopulmonary perfusion technology in Iran with American Society of Extracorporeal Technology’s standards

Amir Faravan 1, Nooredin Mohammadi 2 * , Alireza Alizadeh Ghavidel 3, Mohammad Zia Toutounchi 3, Ameneh Ghanbari 4, Mehran Mazloomi 1

1 Department of Critical Care Nursing, Center for Nursing Care Research, Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran
2 Department of Critical Care Nursing, Nursing and Midwifery Faculty, Iran University of Medical Sciences, School of Nursing and Midwifery, Flinders University, Australia
3 Heart Valve Disease Research Center, Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Rajaie Cardiovascular Medical & Research Center, Cardiac Surgery Department, Iran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Standards have a significant role in showing the minimum level of optimal optimum and the expected performance. Since the perfusion technology staffs play an the leading role in providing the quality services to the patients undergoing open heart surgery with cardiopulmonary bypass machine, this study aimed to assess the standards on how Iranian perfusion technology staffs evaluate and manage the patients during the cardiopulmonary bypass process and compare their practice with the recommended standards by American Society of Extracorporeal Technology.
Methods: In this descriptive study, data was collected from 48 Iranian public hospitals and educational health centers through a researcher-created questionnaire. The data collection questionnaire assessed the standards which are recommended by American Society of Extracorporeal Technology.
Results: Findings showed that appropriate measurements were carried out by the perfusion technology staffs to prevent the hemodilution and avoid the blood transfusion and unnecessary blood products, determine the initial dose of heparin based on one of the proposed methods, monitor the anticoagulants based on ACT measurement, and determine the additional doses of heparin during the cardiopulmonary bypass based on ACT or protamine titration. It was done only in 4.2% of hospitals and health centers.
Conclusion: Current practices of cardiopulmonary perfusion technology in Iran are inappropriate based on the standards of American Society of Cardiovascular Perfusion. This represents the necessity of authorities’ attention to the validation programs and development of the caring standards on one hand and continuous assessment of using these standards on the other hand.

Keywords: Perfusion, Standard, Cardiopulmonary bypas
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PDF Download: 610

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