| Disconnection of Cobe SMARxT tubing from the venous outlet of the Terumo Capiox SX25RX oxygenator during cardiopulmonary bypass. | |
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MedLine Citation:
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PMID: 20648902 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The use of surface modified, biocompatible tubing in cardiopulmonary bypass has been reported to decrease the inflammatory responses caused by blood contact with the non endothelial surface of poly vinyl chloride (PVC) tubing. The combination of advances in biocompatible tubing and increased affordability resulted in a change to our cardiopulmonary bypass circuit, with the Terumo Capiox SX25 oxygenator and Cobe PVC tubing being replaced with a Terumo Capiox SX25RX (with X coating) and Cobe SMARxT tubing. Prior to the introduction of the coated oxygenator, no connection problems had been evident. One unrelated disconnection involving coated tubing was reported in June 2005 to the Australian and New Zealand College of Perfusionists Perfusion Incident Reporting System. At this time we revised all of our set up protocols and the recommended actions from manufacturers. We further report three separate incidents of pump boot disconnection from the venous reservoir outlet of the oxygenator during bypass (that occurred within a 13-month period), and an outline of immediate and prospective evaluation of the probable cause. We propose that SMARxT 3/8" x 3/32" tubing should not be used on the venous outlet connector of Terumo Capiox SX25RX oxygenators. It appears as though the design of the outlet combined with the properties of SMARxT tubing may contribute to the disconnection. |
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Authors:
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Jane Ottens; Robert A Baker; Andrew J Sanderson; Richard F Newland |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of extra-corporeal technology Volume: 42 ISSN: 0022-1058 ISO Abbreviation: J Extra Corpor Technol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-07-22 Completed Date: 2010-09-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0267637 Medline TA: J Extra Corpor Technol Country: United States |
Other Details:
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Languages: eng Pagination: 153-7 Citation Subset: T |
Affiliation:
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Ashford Hospital, Ashford, South Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiopulmonary Bypass
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instrumentation*,
methods* Equipment Failure* Humans Oxygenators* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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