Strategies for bloodless priming of cardiopulmonary bypass circuits in pediatric cardiac surgery
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Abstract
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%.
Article Details
Keywords
cardiopulmonary bypass (CPB), congenital heart disease (CHD).
References
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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.
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