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Related Experiment Videos

[Water-electrolyte and acid-base changes during extracorporeal circulation].

D Medici, G Gendusio, S A Contini

    Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
    |January 1, 1982
    PubMed
    Summary

    Extracorporeal circulation during cardiopulmonary bypass causes fluid shifts and electrolyte imbalances, including low sodium levels and respiratory alkalosis. Prompt recognition and correction are vital to prevent cardiac complications.

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    Area of Science:

    • Cardiovascular Surgery
    • Physiology
    • Nephrology

    Context:

    • Extracorporeal circulation is a complex procedure.
    • Cardiopulmonary bypass requires careful management of physiological parameters.
    • Fluid, electrolyte, and acid-base homeostasis are critical during surgery.

    Purpose:

    • To evaluate fluid, electrolyte, and acid-base balance during extracorporeal circulation.
    • To identify specific changes occurring during cardiopulmonary bypass.
    • To report on corrective measures for these physiological disturbances.

    Summary:

    • Eight patients undergoing extracorporeal circulation showed increased water, decreased osmolarity, and reduced colloid osmotic pressure.
    • Mild respiratory alkalosis was observed, with low serum sodium despite high sodium infusion.

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  • Potassium levels were maintained within normal ranges through supplementation.

    • Impact:

    • Highlights the importance of monitoring fluid and electrolyte balance during cardiopulmonary bypass.
    • Emphasizes the need for prompt recognition and immediate therapy of detected imbalances.
    • Aims to prevent serious cardiac impairments in the perioperative period.