Identifying Neonatal and Pediatric Cardiac and Congenital Diaphragmatic Hernia Extracorporeal Membrane Oxygenation Patients at Increased Mortality Risk
A previous review from our institution established clinically measured cut-points that defined the late implementation of extracorporeal membrane oxygenation (ECMO) correlating to increased mortality in neonatal and pediatric respiratory patients.
Improving Cardiopulmonary Bypass: Does Continuous Blood Gas Monitoring Have a Role to Play?
The CDI ™ 500 (Terumo Cardiovascular Systems, Ann Arbor, MI) is an in-line blood gas monitoring device that has been used in clinical practice for over a decade. Few randomized studies have evaluated the value of this device with respect to improved perfusion management.
Is the Air Handling Capability of the Quadrox D Pump Dependent within an ECMO Circuit? An In Vitro Study
We aimed to determine if the air handling capability of the Quadrox D oxygenator was dependent upon whether it was used in conjunction with a centrifugal or roller pump; and if application of a Pall air eliminating filter (AEF) would prevent circuit air introduction from intravenous infusions.
Pediatric Cardiopulmonary Bypass Adaptations for Long-Term Survival of Baboons Undergoing Pulmonary Artery Replacement
In the evaluation of pulmonary artery tissue engineered heart valves (TEHVs), pediatric CPB methods are adapted to accommodate the animals’ unique physiology enabling survival up to 6 months until elective sacrifice.
Monitoring Microemboli During Cardiopulmonary Bypass with the EDAC® Quantifier
The purpose of this preliminary study is to assess the incidence of GME during bypass surgery and determine if increased GME counts were associated with specific events during bypass surgery.
Complement Activation on the Surface of Cell-Derived Microparticles During Cardiac Surgery With Cardiopulmonary Bypass – Is Retransfusion of Pericardial Blood Harmful?
To investigate whether cell-derived microparticles play a role in complement activation in pericardial blood of patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) and whether microparticles in pericardial blood contribute to systemic complement activation upon retransfusion.
MCR Adult ECMO Coagulation Algorithm (Video)
Jeff Riley discusses a new coagulation algorithm for adult ECMO procedures (26 minutes).
Venous Obstruction and Cerebral Perfusion During Experimental Cardiopulmonary Bypass
To investigate the effects on cerebral perfusion by experimental venous congestion of the superior vena cava (SVC) during bicaval cardiopulmonary bypass (CPB) at 34 degrees C, pigs were subjected to SVC obstruction at levels of 75%, 50%, 25% and 0% of baseline SVC flow at two arterial flow levels (low, LQ, high, HQ).
Arterial Filter Bypass Loop: What Occurs in this Area during Cardiopulmonary Bypass and Are There Potential Patient Implications
The arterial filter is an integral part of bypass circuitry. When introduced, manufacturers suggested a bypass loop for retrograde priming and de-airing, and for uninterrupted blood flow in case of malfunction. Practice has shown antegrade priming and de-airing is possible. This questions the necessity of the loop and presents the question—what occurs in the loop during bypass?
Predictors of Low Cardiac Output Syndrome After Isolated Mitral Valve Surgery
Therefore the aim of this study was to identify the preoperative predictors of low cardiac output syndrome after mitral valve surgery.
Risk Factor Analysis of Long-Term Support With Left Ventricular Assist System
This study was designed to elucidate the key factors for successful long-term support with a left ventricular assist system (LVAS) in the situation where heart transplantation is rarely available.
Correlation Between Pre-operative Brain Magnetic Resonance Angiography Findings and Intra-operative Cerebral Oxygen Saturation During Coronary Artery Bypass Graft Surgery
This study was designed to investigate whether pre-operative MRA findings correlated with regional cerebral oxygen saturation (ScO(2)) in 120 patients undergoing on-pump or off-pump CABG.