Strategies for bloodless priming of cardiopulmonary bypass circuits in pediatric cardiac surgery
Nội dung chính của bài viết
Tóm tắt
Bloodless cardiopulmonary bypass in paediatric cardiac surgery in patients weighing more than 15 kg can be performed safely and effectively. Incorporating a low-prime volume oxygenator into a revised circuit reduced the need for blood transfusion and allowed us to achieve our desire flow rate of 2.6±0.21 L/min/m2 while maintaining a haematocrit ranging from 28% to 36%.
Chi tiết bài viết
Từ khóa
cardiopulmonary bypass (CPB), congenital heart disease (CHD).
Tài liệu tham khảo
1. Miyaji KA, Kohira SA, Miyamoto TA, et al. Paediatric cardiac surgery without homologous blood transfusion, using a miniaturized bypass system in infants with lower body weight. J Thorac Surg. 2007;134:284–9.
2. Forest RJ, Groom RC, Quinn R, Donnelly J, Clark C. Repair of hypoplastic left heart syndrome in a 4.25 kg Jehovah’s Witness. Perfusion. 2002;17:221–5.
3. Karimi MO, Florentino-Pineda IV, Weatherred TE, et al. Blood conservation operations in paediatric cardiac patients: A paradigm shift of blood use. Ann Thorac Surg. 2013;95:962–7.
4. Nakanishi K, Shichijo T, Shinkawa Y, et al. Usefulness of vacuum-assisted cardiopulmonary bypass circuit for paediatric open-heart surgery in reducing homologous blood transfusion. Eur J Cardiothorac Surg. 2001; 20:233–8.
5. Utley JR, Stephens DB, Wachtel C, et al. Effect of albumin and mannitol on organ blood flow, oxygen delivery, water content and renal function during hypothermic haemodilution cardiopulmonary bypass. Ann Thorac Surg. 1982;33:250–7.
2. Forest RJ, Groom RC, Quinn R, Donnelly J, Clark C. Repair of hypoplastic left heart syndrome in a 4.25 kg Jehovah’s Witness. Perfusion. 2002;17:221–5.
3. Karimi MO, Florentino-Pineda IV, Weatherred TE, et al. Blood conservation operations in paediatric cardiac patients: A paradigm shift of blood use. Ann Thorac Surg. 2013;95:962–7.
4. Nakanishi K, Shichijo T, Shinkawa Y, et al. Usefulness of vacuum-assisted cardiopulmonary bypass circuit for paediatric open-heart surgery in reducing homologous blood transfusion. Eur J Cardiothorac Surg. 2001; 20:233–8.
5. Utley JR, Stephens DB, Wachtel C, et al. Effect of albumin and mannitol on organ blood flow, oxygen delivery, water content and renal function during hypothermic haemodilution cardiopulmonary bypass. Ann Thorac Surg. 1982;33:250–7.
Các bài báo tương tự
- Luân Trần Minh Bảo, Nam Nguyễn Hoài, Cắt thùy phổi và nạo hạch qua nội soi lồng ngực trong điều trị ung thư phổi không tế bào nhỏ: an toàn và khả thi? , Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam: Tập 23
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