Good cardiopulmonary bypass (CPB) practices for prevention of cerebral injury in cardiac surgery

Cerebral dysfunction after CPB represents deficits ranging from neurocognitive deficits occurring in approximately 25 % to 80% of patients stroke to overt occurring in 1% to 5% of patients. Neurological injury ranges from incapacitating stroke lethal encephalopathy coma to delirium term neurocognitive decline. Although stroke after cardiac surgery is an important concern for both short disability long-term effects more subtle neurological encephalopathy such as dysfunction neurocognitive costs are associated with increased medical review decreased quality of life. In this incidence we will discuss the pathogenesis aetio patho-physiology sum up with the safe CPB practices that are necessary to prevent neurological insult during cardiac surgery. (Ind J Extra Corpor Technol 2011;21:0–0)