The Effect of Combined Conventional and Modified Ultrafiltration on Mechanical Ventilation and Hemodynamic Changes in Congenital Heart Surgery
The aim of this study was to compare the effects of modified ultrafiltration (MUF) versus conventional ultrafiltration (CUF) on duration of mechanical ventilation and hemodynamic status in children undergoing congenital heart surgery.
Novel Applications of Modified Ultrafiltration and Autologous Priming Techniques to Reduce Blood Product Exposure on ECMO
Patients needing the assistance of extracorporeal membrane oxygenation (ECMO) are at risk of hemodilution and, in some instances, may require exposure to large amounts of allogeneic blood products.
Using Zero Balance Ultrafiltration with Dialysate as a Replacement Fluid for Hyperkalemia during Cardiopulmonary Bypass
We report the application of Z-BUF using an electrolyte-balanced, low potassium dialysate solution rather than isotonic saline to avoid a high chloride load and the potential for hyperchloremic acidosis to successfully treat hyperkalemia while on cardiopulmonary bypass.
Blood conservation Strategies in Cardiac Valve Replacement: A Retrospective Analysis of 1645 Patients
We aimed to evaluate whether blood conservation strategies including intraoperative autologous donation (IAD) could reduce perioperative blood transfusion for patients undergoing cardiac valve replacement including mitral valve replacement, aortic valve replacement (AVR), and double valve replacement (DVR).
Major Thoracic Surgery in Jehovah’s Witness: A Multidisciplinary Approach Case Report
A bloodless surgery can be desirable also for non Jehovah's witnesses patients, but requires a team approach from the very first assessment to ensure adequate planning.
Clinical and Surgical Strategies for Avoiding or Reducing Allogeneic Blood Transfusions
Blood transfusions have still been used as a standard therapy to treat severe anemia. Current evidences point to both excessive allogeneic blood consumption and decreased donations, which result in reduced stocks in blood banks.
Modified Ultrafiltration during Cardiopulmonary Bypass and Postoperative Course of Pediatric Cardiac Surgery
In this review, we tried to evaluate the current evidence about modified ultrafiltration (MUF) on the organ performance and its effect on post-cardiopulmonary bypass (CPB) morbidity in pediatric patients.
Clinical Application of Prothrombin Complex Concentrate in Blood Management in Patients
Management of patients receiving anticoagulants is a major factor in achieving better outcomes. Anticoagulant therapy may need to be discontinued or rapidly reversed before urgent surgery or invasive procedures.
Perioperative Management of a Child with Hypoplastic Left Heart Syndrome of the Jehovah’s Witness Faith Presenting for Hybrid Comprehensive Stage II Procedure
Over the years, there has been a growing recognition of the potential negative sequelae of allogeneic blood products on postoperative outcomes following cardiac surgery. In addition, followers of the Jehovah's Witness (JW) faith have a religious restriction against receiving blood or blood components.
Venoarterial Modified Ultrafiltration Versus Conventional Arteriovenous Modified Ultrafiltration During Cardiopulmonary Bypass Surgery
This study compared a conventional arteriovenous modifiedultrafiltration (AVMUF) system to a custom- designed venoarterial modified ultrafiltration (VAMUF) system.
Risk Factors for Acute Kidney Injury after Congenital Cardiac Surgery in Infants and Children: A Retrospective Observational Study
Acute kidney injury (AKI) after pediatric cardiac surgery is associated with high morbidity and mortality. Modifiable risk factors for postoperative AKI including perioperative anesthesia-related parameters were assessed.
Conventional Hemofiltration During Cardiopulmonary Bypass Increases the Serum Lactate Level in Adult Cardiac Surgery.
This study evaluated the effect of hemofiltration during cardiopulmonary bypass on lactate level in adult patients who underwent cardiac surgery.