%0 Journal Article %T Retrospective Analysis of Bypass-Related Complications at Iran's Cardiovascular Surgical Centers %J Journal of Cardio-Thoracic Medicine %I Mashhad University of Medical Sciences %Z 2345-2447 %A Zirak, Nahid %A Shafiei, Hamid %A Sadeghi Ivraghi, Mehraveh %A Jarahi, Lida %A Rahimi, Hassan %A Ahmadi Hassanabad, Zahra %A Pakniat, Hoorieh %A Maragheh Moghaddam, Shahrzad %D 2022 %\ 12/01/2022 %V 10 %N 4 %P 1078-1088 %! Retrospective Analysis of Bypass-Related Complications at Iran's Cardiovascular Surgical Centers %K Cardiopulmonary machine %K Human errors %K Mechanical disturbances %K cardiopulmonary accidents %R 10.22038/jctm.2022.67638.1397 %X Introduction: In addition to the well-known benefits of cardiopulmonary bypass (CPB), there are also certain possible risks, some of which are avoidable and some of which are accidental. In addition to CPB, potentially life-threatening consequences include human error and mechanical disruptions. The purpose of this study is to conduct a retrospective analysis of CPB accidents in Iranian cardiovascular surgery departments.Methods: This study included 151 Iranian perfusionists who were evaluated using a questionnaire created by the researchers. The questionnaire recorded all participants' demographic information as well as their experiences with human errors (e.g., perfusionist fatigue and drowsiness; errors in CPB circuit arrangement; and so on) and mechanical disturbances (cooling-warming circuit, oxygenator failure, electrical disruption, and so on). SPSS Version 16 was used to analyze all of the data.Result: 1) venous obstruction and improper venous return had the highest recurrence rate of 89.4%, 2) Removing the venous cannula and venting the venous path 86.8%, 3) 79.5% were unable to raise (ACT) more than 400. Most significant injuries were caused by clots or thrombi during CPB (2.6%), 2) failure of the oxygenator (2.6%). Most deaths were caused by an air embolism (5.29).Conclusions: Although the occurrence of human errors and mechanical disturbances cannot be predicted, they can be mitigated by the sharing of accidents and mistakes. %U https://jctm.mums.ac.ir/article_21597_2e86ad82fbecd56eba6f16adca069af2.pdf