What should the ACT be during cardiopulmonary bypass?

Oct 10, 2023 Source: Cainiu Health

Dr. Yang Shuwen

Introduction

Under normal circumstances, the reference range for ACT is 74–125 seconds, and during cardiopulmonary bypass, it should be maintained at 360–450 seconds. If a patient requires ACT monitoring during cardiopulmonary bypass, it is recommended to consult a qualified physician at a正规 hospital and receive treatment under medical supervision. After the procedure, patients should ensure adequate rest and avoid staying up late or overexertion to prevent interference with recovery.

Under normal circumstances, the reference range for ACT is 74–125 seconds, while during cardiopulmonary bypass it should be maintained between 360 and 450 seconds. Detailed analysis is as follows:

In medicine, ACT refers to activated clotting time, which is currently the most objective and accurate method used clinically to monitor blood coagulation time during procedures involving extracorporeal circulation. The normal ACT value reflects coagulation function, particularly related to platelet levels. Therefore, a decreased ACT value may indicate a risk of severe bleeding. ACT monitoring devices are effective tools in clinical practice for measuring clotting time during extracorporeal circulation. By measuring ACT values, appropriate dosages of heparin for anticoagulation and protamine for reversal can be determined, making this an essential method to ensure the safety and success of cardiac surgeries.

If a patient requires ACT monitoring during cardiopulmonary bypass, it is recommended to consult a qualified physician at a正规 hospital and receive treatment under medical supervision. After the procedure, patients should ensure adequate rest and avoid staying up late or overexertion to prevent interference with recovery.

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