Author/Authors :
faravan, amir iran university of medical sciences - center for nursing care research, nursing and midwifery faculty - department of critical care nursing, ايران , mohammadi, nooredin iran university of medical sciences - nursing and midwifery faculty - department of critical care nursing, ايران , mohammadi, nooredin flinders university - school of nursing and midwifery, Australia , alizadeh ghavidel, alireza iran university of medical sciences - rajaie cardiovascular medical and research center, heart valve disease research center, ايران , zia toutounchi, mohammad iran university of medical sciences - rajaie cardiovascular medical and research center, heart valve disease research center, ايران , ghanbari, amaneh iran university of medical sciences - rajaie cardiovascular medical research center - cardiac surgery department, ايران , mazloomi, mehran iran university of medical sciences - center for nursing care research, nursing and midwifery faculty - department of critical care nursing, ايران
Abstract :
Introduction: Standards have a significant role in showing the minimum level of optimal optimum and the expected performance. Since the perfusion technology staffs play an the leading role in providing the quality services to the patients undergoing open heart surgery with cardiopulmonary bypass machine, this study aimed to assess the standards on how Iranian perfusion technology staffs evaluate and manage the patients during the cardiopulmonary bypass process and compare their practice with the recommended standards by American Society of Extracorporeal Technology. Methods: In this descriptive study, data was collected from 48 Iranian public hospitals and educational health centers through a researcher-created questionnaire. The data collection questionnaire assessed the standards which are recommended by American Society of Extracorporeal Technology. Results: Findings showed that appropriate measurements were carried out by the perfusion technology staffs to prevent the hemodilution and avoid the blood transfusion and unnecessary blood products, determine the initial dose of heparin based on one of the proposed methods, monitor the anticoagulants based on ACT measurement, and determine the additional doses of heparin during the cardiopulmonary bypass based on ACT or protamine titration. It was done only in 4.2% of hospitals and health centers. Conclusion: Current practices of cardiopulmonary perfusion technology in Iran are inappropriate based on the standards of American Society of Cardiovascular Perfusion. This represents the necessity of authorities’ attention to the validation programs and development of the caring standards on one hand and continuous assessment of using these standards on the other hand.
