The Effectiveness of Low-Prime Cardiopulmonary Bypass Circuits at Removing Gaseous Emboli
Every effort should be made to minimize and prevent air from being entrained in the venous line of a low prime CPB circuit to minimize the risk of arterial gaseous microemboli generation.
Anticoagulant Monitoring Techniques in a Heparin-Induced Thrombocytopenia Patient Undergoing Cardiopulmonary Bypass Using Bivalirudin Anticoagulant
Heparin is widely used as the anticoagulant of choice for cardiopulmonary bypass. However, some patients exposed to heparin therapies develop heparin-induced thrombocytopenia (HIT).
Retrograde Autologous Prime With Shortened Bypass Circuits Decreases Blood Transfusion in High-Risk Coronary Artery Surgery Patients
Minimizing hemodilution by shortening the bypass circuit and performing retrograde autologous prime conserves the use of blood during routine coronary artery bypass surgery.
Impact of Extracorporeal Circuit Prime Volume Reduction on Whole Blood Sequestration During Acute Normovolemic Hemodilution for Adult Cardiac Surgery Patients
The combination of PPV reduction with ANH may represent a useful blood conservation approach in adult patients undergoing cardiac surgery with CPB.
A Failure Mode Effect Analysis on Extracorporeal Circuits for Cardiopulmonary Bypass
To increase the safety of extracorporeal circuits and minimize the effects associated with cardiopulmonary bypass, perfusionists must incorporate FMEA into their clinical practice.
Cardiopulmonary Bypass in Surgery for Interrupted Aortic Arch
Profound hypothermic cardiopulmonary bypass either with low flow rate or with circulatory arrest is equally the preferable choice for the surgery of interrupted aortic arch.
Extended Support With the Terumo BABY-RX Oxygenator
The Terumo Baby-RX™, a new-generation low prime oxygenator, recently has entered the perfusion market in North America. This oxygenator is designed exclusively for neonates and infants and has the smallest priming volume of any clinically available oxygenator.
Off-Pump Versus On-Pump Coronary Artery Bypass Surgery and Postoperative Pulmonary Dysfunction
Off-pump CABG does not confer major protection from postoperative pulmonary dysfunction compared with CABG surgery with CPB.
Strict Blood Glucose Control in the ICU: Panacea or Pandora’s Box?
Presently, the recommendation for adults undergoing cardiovascular surgical procedures is that there should be concern about blood glucose levels preoperatively and that control of blood glucose should start early; otherwise, the aggressive approach mandated by the development of hyperglycemia will increase the incidence of hypoglycemia.
Alterations of Mesenteric Blood Flow After Cardiopulmonary Bypass: A Doppler Sonographic Study
The postoperative changes in the flow velocities and the increases of the resistive and pulsatility index are indications of rigidity of the mesenteric vascular bed and decreased mesenteric perfusion after cardiopulmonary bypass.
Interleukin-6 and Procalcitonin in Serum of Children Undergoing Cardiac Surgery With Cardiopulmonary Bypass
While procalcitonin serum concentrations were dependent on aortic clamping time or incisional trauma, interleukin 6 showed no significant relation with these intraoperative variables.
The Benefits of Continuous Ultrafiltration in Pediatric Cardiac Surgery
MUF decreases the duration of mechanical ventilatory support, the length of intensive care unit stay, the need for blood transfusion and improves postoperative hemodynamics.