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In recent years, heart surgery is linked to a high rate of morbidity, mortality, and socioeconomic expenses. Anesthesia and some surgeries cause variations in respiratory function, lung volumes, and gas exchange in patients. Preparation for surgical procedures has become an essential tool in reducing the risk of post-operative complications.

Surgical trauma causes the body to tense and stress, resulting in homeostatic imbalance. These types of imbalances can cause an exaggerated response in the body leading to post-operative complications.

In the United States only, there are more than 250,000 heart surgeries performed every year. With the number expected to go up, there is a need to improve surgical procedures to provide the best care for patients.

The Quest MPS 3 ND myocardial protection system is ideal for pre-operative preparation before open-heart surgery. It significantly reduces the risk of procedural complications. Additionally, it considerably lowers hospital expenses, making it an essential tool in operative optimization.

The information below explores some of the benefits of Quest MPS technology in the effective preparation of pre-heart surgery, examination, and data collection to ensure the best care for a patient.

Pre-operative History

The Quest MPS systems are perfect for capturing and storing data relevant to your patient and any cardiovascular surgical procedures they have undergone.

The MPS data complements other types of data or information that is relevant to the patient. This data includes the patient’s pre-operative history. It is structured similarly to a standard history, with the inclusion of some anesthetic and surgery-specific concerns. Pre-operative history comprises of:

Physical Examination

Conducting a physical examination of a patient before undergoing heart surgery is necessary to reduce any complications. The physician should confirm any previous results of the cardiovascular and respiratory condition. Likewise, they should also monitor the progression of the disease and exclude any new pathology in the patient.

However, a new pathology may require a different cardioplegia approach during heart surgery, and you need a system that actively supports these changes. The Quest MPS 3 ND system’s agility is designed to complement myocardial protection regardless of the surgeon’s surgical strategies during the procedure.

Past Medical, Surgical, And Anesthetic History

Some conditions may have underlying precursors that can help assess different aspects and heart surgical methodology. Running a complete medical history on your patient’s cardiovascular fitness can help predict their risk of post-operative complications.

Has your patient undergone any previous surgeries? Repeated surgical procedures may significantly influence the ease of the operation or surgical time, affecting the anesthetic technique used during open-heart surgery.

Is this the first time the patient has had anesthesia? If so, you need to know which type of anesthesia was used during the procedure. You also need to find out what kind of reactions the patient experienced after heart surgery.

Get organized medical history and drug records in a convenient and reliable manner. The Quest MPS 3 ND System records and collects all patient data, which technicians can later use to identify the type of drug, drug volumes, and drug concentration administered during surgery.

Pre-operative Investigations

Secondly, the Quest MPS 3 system is critical in providing reliable information that complements pre-operative investigations and improves the success of open-heart surgery.
Before open-heart surgery, understanding the cardiovascular, respiratory, and blood tests in a patient can determine the appropriate strategies to take during the procedure. In addition, the investigations give a baseline for comparison during and after the surgery.

Cardiac Investigations

Electrocardiogram (ECG) examinations are performed on patients undergoing major surgeries, including open-heart surgery. They provide a good indication of the heart pathology before the surgery and provide a baseline to identify myocardial ischemia post-surgery.

During the intraoperative procedure, the Quest MPS active monitoring controller (AMC) provides real-time data on the baseline values to compare during heart surgery. The monitor also displays the real-time ECG stats to ensure adequate monitoring and efficient response during the procedure.

Blood Test

The Quest MPS system active monitoring controller provides real-time data on oxygen saturation, hemoglobin, and blood gases. Blood screening and testing is a routine procedure before undergoing heart surgery. The full blood count test detects:

  • Thrombocytopenia
  • Anemia
  • Hereditary and acquired hematological disorders
  • Bleeding disorders
  • The impact of various systemic conditions beforehand.

In addition, blood offers a delivery system for nutrients and oxygen to the body. During surgery, low levels of oxygen hemoglobin, and nutrients can increase the risk of patient mortality.

However, any significant risk to the blood assessment during surgery may require perioperative intervention to prevent cardiovascular complications during heart surgery.

The MPS provides a reliable and safe cardioplegia delivery system ensuring a constant supply of enriched blood to your patient. Likewise, the cardiovascular perfusionist monitors and assesses the circulation efficiently and accurately at a glance.

Choosing Cardioplegic Techniques

Whether you use the standard diluted blood cardioplegic or microplegia technique, the Quest MPS provides the best support for any surgical strategy that you see fit.

A cardioplegic arrest is now the standard practice of care for on-pump cardiac surgery patients. Your patient’s disorder and type of pathology can actively determine the type of cardioplegic strategies used during surgery.

The main component of any cardioplegic technique is the solution that induces cardiac arrest. Insufficient monitoring of the potassium concentration and additives in the cardioplegic solution can increase the risk of a heart surgery complication.

The AMC provides critical information used to observe the potassium and additive levels in the cardioplegic solution. In addition, the perfusionist also has a cardioplegic ratio on display. It allows them to make necessary adjustments at the touch of a button.

Temperature and Hemodynamic Modulation

Regulation of blood temperature is critical when carrying out heart surgery. Hypothermia is associated with higher risks of myocardial ischemia, which delays recovery.

The heat exchanger in the Quest MPS is complemented by a temperature feature on the AMC, which provides a proficient way to adjust and regulate the patient’s blood temperature during surgery.

The Quest MPS 3 ND system is designed to provide the best myocardial protection for all your patients. With an intuitive monitoring control system and data analysis, you are guaranteed the best patient safety and surgery outcome.