CPB 🧵pt4. Dessert course. Circ arrest.

Yes we know it’s a lifestyle.

But what IS it actually? Why do we do that to a person - stop blood flow to their whole body. Isn’t blood flow necessary? Or at least preferable?

#surged #meded #CTSurgery #CardioTwitter To understand why we “circ arrest” someone- meaning arrest or stop the circulation to the whole body- we have to return to the basics of vascular surgery (bc cardiac surgery is kind of the ultimate #vascularsurgery 🙃)

it’s all about proximal and distal control

Ok let’s keep going with #cardiopulmonarybypass. Several requests for circulatory arrest, but first let’s understand how to go on and off bypass and a few flavors of cannulation and cardioplegia

🧵primer pt 2: going on and off bypass

#CardioTwitter #surged #meded #CTsurgery Again, don’t get overwhelmed by the surgeon shoving a large number of tubes into the heart. Think logically what each one does and why it is needed.

If you know your stuff and you can’t come up with an answer, then maybe you’ve identified an inefficiency in their process. 🙃🙃

For student coming onto #cardiacsurgery: here’s a primer on cardiopulmonary bypass I usually give between rounds and incision

You won’t pass perfusion boards from this 🧵but hopefully you’ll feel more oriented at the table.

#cardiotwitter #surged #meded #CTSurgery When I was a sub-I on cardiac surgery I was totally lost on what all the different tubes did and would see a diagram like this and think I should stick to belly surgery: