Specific requirements for bloodless cardiopulmonary bypass in neonates and infants; a review

被引:15
作者
Golab, Hanna D. [1 ]
Takkenberg, Johanna J. M. [1 ]
Bogers, Ad J. J. C. [1 ]
机构
[1] Erasmus MC, Univ Med Ctr Rotterdam, Dept Cardiothorac Surg, NL-3015 CE Rotterdam, Netherlands
来源
PERFUSION-UK | 2010年 / 25卷 / 04期
关键词
cardiopulmonary bypass; bloodless; neonate; infant; hemodilution; miniaturization; OPEN-HEART-SURGERY; PEDIATRIC CARDIAC-SURGERY; ASSISTED VENOUS DRAINAGE; REMOTE PUMP HEAD; RANDOMIZED-TRIAL; LACTATE LEVELS; TRANSFUSION; CIRCUIT; HEMATOCRIT; IMPACT;
D O I
10.1177/0267659110375862
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A miniaturized cardiopulmonary bypass circuit enables the safe performance, in selected pediatric patients, of bloodless open heart surgery. As the latest survival rates in neonatal and infant cardiac surgery have become satisfactory, investigators have concentrated upon the improvement of existing procedures. Institutional guidelines and multidisciplinary efforts undertaken in the pre- and postoperative periods are of great importance, concerning bloodless CPB and should be seriously pursued by all involved caregivers. This review reflects upon the selective, most relevant requirements for success of asanguinous neonatal and infant CPB: acceptable level of hemodilution during the CPB, patient preoperative hematocrit value and volume of CPB circuit. We present an assessment of practical measures that were also adapted in our institution to achieve an asanguinous CPB for neonatal and infant patients.
引用
收藏
页码:237 / 243
页数:7
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