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Ann Thorac Surg 1980;29:336-340
© 1980 The Society of Thoracic Surgeons
Division of Cardiac Surgery, St. Thomas Hospital, and the Department of Thoracic and Cardiovascular Surgery, Vanderbilt University Medical School, Nashville, TN
* Address reprint requests to Dr. Stoney, 4230 Harding Rd, Suite 501, Nashville, TN 37205
A survey of 349 cardiac surgeons showed that during a six-year period, a pump oxygenator accident serious enough to cause patient injury or death occurred once per 1,000 procedures. A total of 264 deaths occurred as a direct result of an accident. Air embolism and disseminated intravascular coagulation were the two most common problems. Low-level alarm systems were reported to be used by 42% of the respondents and activated clotting times were used by 63%. Rigorous use of alarm systems and heparin monitoring could reduce the incidence of pump-related accidents.
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