CVICU folks, What's your longest pump runs?

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Specializes in Critical care.

Only have one yr in CVICU, and we have a small case-load, in a small hospital, in it's open-heart infancy.

I'm soliciting personal best pump runs, and circ-arrest times from you more experienced folks. Just trying to get a feel for just how lucky this pt was/is.

I ask because we had this pt's CABG procedure take a drastic turn just after the last graft was done. His ascending aorta crumbled in the surgeon's hand. Resulted in: 8 hrs in OR, 300+ mins total on-pump time, 90+ mins total circ-arrest. Add to that another 3 more take-backs over the next 48 hrs, (once more on-pump I think) and he left the hospital with no cognitive defs, renal insuff. etc. Totally unscathed, this guy.

I'm left with the impression that I may never see that outcome in my career again. What say you?

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I have to say that patient was quite lucky!! I had a similar case in which the ascending aorta dissected when the surgeon removed the X clamp--I believe that pt was on pump for about the same time as your case, and went back to the O.R. once. Unfortunately this patient did not make it--spent several weeks in the ICU before withdrawing support. Very, very sad.

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Only have one yr in CVICU, and we have a small case-load, in a small hospital, in it's open-heart infancy.

I'm soliciting personal best pump runs, and circ-arrest times from you more experienced folks. Just trying to get a feel for just how lucky this pt was/is.

I ask because we had this pt's CABG procedure take a drastic turn just after the last graft was done. His ascending aorta crumbled in the surgeon's hand. Resulted in: 8 hrs in OR, 300+ mins total on-pump time, 90+ mins total circ-arrest. Add to that another 3 more take-backs over the next 48 hrs, (once more on-pump I think) and he left the hospital with no cognitive defs, renal insuff. etc. Totally unscathed, this guy.

I'm left with the impression that I may never see that outcome in my career again. What say you?

Our CABG's average around 150 minutes... although

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Specializes in CCU/CVU/ICU.
Only have one yr in CVICU, and we have a small case-load, in a small hospital, in it's open-heart infancy.

I'm soliciting personal best pump runs, and circ-arrest times from you more experienced folks. Just trying to get a feel for just how lucky this pt was/is.

I ask because we had this pt's CABG procedure take a drastic turn just after the last graft was done. His ascending aorta crumbled in the surgeon's hand. Resulted in: 8 hrs in OR, 300+ mins total on-pump time, 90+ mins total circ-arrest. Add to that another 3 more take-backs over the next 48 hrs, (once more on-pump I think) and he left the hospital with no cognitive defs, renal insuff. etc. Totally unscathed, this guy.

I'm left with the impression that I may never see that outcome in my career again. What say you?

Lucky for him!

Also, How old was he? (curious)

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