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The Annals of Thoracic Surgery, Vol 29, 336-340, Copyright © 1980 by The Society of Thoracic Surgeons

ARTICLES

Air embolism and other accidents using pump oxygenators

WS Stoney, WC Alford Jr, GR Burrus, DM Glassford Jr and CS Thomas Jr

A surgery of 349 cardiac surgeons showed that during a six-year period, a pump oxygenator accident serious enough to cause patient injury or death occurred one per 1,000 procedures. A total of 264 deaths occurred as a direct results 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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