Chiến lược không sử dụng máu trong tuần hoàn ngoài cơ thể ở phẫu thuật tim trẻ em
Main Article Content
Abstract
Bloodless pediatric cardiac surgery in patients over 15kg in weight can be performed safely. Incorporating a lower prime oxygenator into a revised circuit alleviated the need for blood transfusion and allowed us to achieve our calculated flow rate of 2.6±0.21 L/min/m2 while maintaining a hematocrit range from 28% to 36%.
Article Details
Keywords
cardiopulmonary bypass (CPB), congenital heart disease (CHD)
References
1. Miyaji KA, Kohira SA, Miyamoto TA, et al. Pediatric 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 pediatric 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 pediatric 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 hemodilution 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 pediatric 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 pediatric 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 hemodilution cardiopulmonary bypass. Ann Thorac Surg. 1982;33:250–7.