Türkiye’de doğuştan kalp hastalıkları cerrahisinde kullanılan tekniklerin ve malzemelerin seçimi için öneriler

Ülkemizde kardiyopulmoner baypas sırasında kullanılan teknik ve mekanik malzemelerin (kalp-akciğer makinesi sistemi, oksijenatör, arteriyel ve venöz kanüller, arteriyel filtreler ve diğer özel olarak tasarlanmış malzeme ve cihazlar) seçimi standart değildir. Bu seçimde merkezin tercihinin yanı sıra, malzemenin fiyatı da büyük oranda rol oynayabilmektedir. Bilimsel verileri kullanarak malzeme seçimi yapan merkez sayısı çok azdır. Bilimsel gerekçelendirme olmaksızın yeni teknik ve malzemeleri uygulamanın, hastaların sağlığını kısa ve uzun vadede riske attığı, yapılan çalışmalarla kanıtlanmıştır. Bu makalenin amacı malzeme seçiminde kalite kontrol prosedürlerinin ve bilimsel verilerin nasıl kullanılacağını göstermek ve cerrahi sonrasında komplikasyon risklerini en aza indirgemek için denenmiş son teknikleri paylaşmaktır.

Recommendations for the selection of techniques and components used in congenital heart surgery in Turkey

There is no standard for the selection of technical and mechanical components (heart-lung machine system, oxygenator, arterial and venous cannulae, arterial filter and other specifically-designed components and devices) used in cardiopulmonary bypass in Turkey. The cost of the component plays a significant role in the selection, as well as the preference of the facility. Only a limited number of hospitals decide which components to be used based on scientific data. Studies have confirmed that selected novel techniques and components having no basis of scientific justification may pose risk for the life of the patient in the short- and long-term. The objectives of this study are to show how to use quality-control procedures and scientific data for the selection of novel techniques and components and to share, also, recent techniques experienced to minimize the complication risk after surgery.

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