Titre
A cardiopulmonary bypass score system to assess quality of perfusion performance
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Jegger, D.
Auteure/Auteur
Ruchat, P.
Auteure/Auteur
Horisberger, J.
Auteure/Auteur
Boone, Y.
Auteure/Auteur
Pierrel, N.
Auteure/Auteur
Seigneuil, I.
Auteure/Auteur
von Segesser, L. K.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0267-6591
Statut éditorial
Publié
Date de publication
2001-05
Volume
16
Numéro
3
Première page
183
Dernière page/numéro d’article
8
Notes
Journal Article --- Old month value: May
Résumé
During cardiopulmonary bypass, the perfusionist maintains physiological parameters laid down in protocols; this is his or her performance capability. In order to assess his or her performance we need to be able to analyse these physiological parameters objectively. We defined six parameters, pH, BE, PaCO2, PaO2, ACT and oesophageal temperature and gave them ideal values of 7.40+/-0.05, 0.0+/-2.5 mmol/l, 39.0+/-3.0 mmHg, 150+/-50 mmHg, 540+/-60 s and 37.2+/-0.2 degrees C, respectively. We established ranges and a score system: +/- one standard deviation of the mean for a score of zero; between +/- one and two standard deviations for a score of one; and greater than +/- two standard deviations for a score of two. We captured and analysed the most outlying value, with respect to known normal values, for each parameter recorded on the pump sheet. This was performed for 100 consecutive patients. Mean +/- standard deviation (medians) values for pH, BE, PaCO2, PaO2, ACT and oesophageal temperature were 7.41+/-0.07 (7.41), -1.85+/-2.37 mmol/l (-1.85 mmol/l), 34.6+/-5.42 mmHg (34.0 mmHg), 320+/-96.2 mmHg (317 mmHg), 558+/-164 s (503 s) and 37.3+/-0.5 degrees C (37.4 degrees C), respectively. We then analysed what percentage of our 100 patients fell within each score range for each of the six parameters. This is an efficient means in analysing whether the perfusionist abides by the protocols, what quality is supplied to the patient, does he or she react when he or she is faced with parameters that are out of range and finally advocating in-line blood gas monitoring. This is another step towards our goal of total quality management.
Sujets
PID Serval
serval:BIB_CC4C4D0DA76A
PMID
Date de création
2008-01-28T08:39:08.965Z
Date de création dans IRIS
2025-05-21T02:56:41Z