where are the cannula most commonly placed for cardiopulmonary bypass procedures
Cardiopulmonary bypass CPB mechanically circulates and oxygenates blood for the body while bypassing the heart and lungs. It uses a heart–lung machine to maintain perfusion to other body organs and tissues while the surgeon works in a bloodless surgical field. The surgeon places a cannula in right atrium, vena cava, or femoral vein to withdraw blood from the body. The cannula is connected to tubing filled with isotonic crystalloid solution. Venous blood that is removed from the body by the cannula is filtered, cooled or warmed, oxygenated, and then returned to the body. The cannula used to return oxygenated blood is usually inserted in the ascending aorta, but it may be inserted in the femoral artery. The patient is administered heparin to prevent clotting, and protamine sulfate is given after to reverse effects of heparin. During the procedure, hypothermia may be maintained; body temperature is usually kept at 28 °C to 32 °C (82.4–89.6 °F). The blood is cooled during CPB and returned to the body. The cooled blood slows the body's basal metabolic rate, decreasing its demand for oxygen. Cooled blood usually has a higher viscosity, but the crystalloid solution used to prime the bypass tubing dilutes the blood.
Backshore Sediments in this area are well-sorted and well-rounded. Its grain sizes are mainly coarse sand and medium sand, which are larger than that in littoral barrier dune.The sedimentary structures include parallel bedding and low-angle cross-bedding.
Engagement ring In Western countries, it is customarily worn on the left hand ring finger, though customs vary across the world.
Vapor–liquid separator For the common variety, gravity is utilized in a vertical vessel to cause the liquid to settle to the bottom of the vessel, where it is withdrawn.[1][2][3][4]