Assessment of suitability of minimal extracorporeal circulation during cardiac surgery

Nikitinský, David - Assessment of suitability of minimal extracorporeal circulation during cardiac surgery First Faculty of Medicine Charles University in Prague Thesis supervisor: doc. MUDr. Vilém Rohn, CSc. The aim of the present Thesis is to evaluate the suitability of use of minimal extracorporeal circulation (MECC) by means of comparison with conventional extracorporeal circulation. In this work, I retrospectively compared two groups of patients who underwent heart surgery, one treated with MECC, and the other with conventional extracorporeal circulation - ECC. The patients were divided into two groups of 29 (MECC) and 51 (ECC) probands. Male patients prevailed in both groups (69% MECC; 80.4% ECC). The mean age was 70.5 years (MECC), 65.6 years old (ECC). In this work, I evaluated the amount of postoperative blood loss, number of units of blood derivatives used, the total duration of intubation, length of stay in postoperative intensive care unit, the execution time of surgery until discharge. I also evaluated the frequency of neurological complications, delirium, non-infectious pulmonary complications, gastrointestinal complications and other complications. The frequency of neurological complications in the MECC group (4 patients, 13.8%) was increased in comparison with the ECC group (1..