Document Detail


Low-prime perfusion circuit and autologous priming in CABG surgery on a Jehovah's Witness: a case report.
MedLine Citation:
PMID:  11822354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac surgery on Jehovah's Witnesses is a great challenge for the cardiothoracic surgery team and especially for the perfusionist. To reduce the risk of surgery in these patients, a very small extracorporeal circuit was designed to decrease the amount of priming volume and thereby the degree of hemodilution. A small bypass system was built, consisting of a 3/8-in. arterial line and a 3/8-in. venous line, a venous collapsible reservoir, a centrifugal pump, a hollow fiber oxygenator and a cell saver reservoir. The circuit priming volume was 650 ml. By using antegrade and retrograde autologous priming, the total amount of priming was reduced to +/-50 ml. Bypass time was 63 min with an average blood flow of 5300+/-114 ml/min and postmembrane pressures of 180+/-45 mmHg. Venous line pressure was monitored and kept between -8 and -20 mmHg with a mean arterial pressure (MAP) of 55+/-12.3 mmHg. The hematocrit before extracorporeal circulation (ECC) was 36%, per-ECC 35% and post-ECC 35%. On the fifth postoperative day, the hematocrit was 40%. The patient was discharged 7 days after surgery. A low-prime circuit, in combination with autologous priming, seems to be safe and effective in avoiding the use of banked blood.
Authors:
A B Brest van Kempen; J M Gasiorek; K Bloemendaal; R P H Storm van Leeuwen; E R Bulder
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Perfusion     Volume:  17     ISSN:  0267-6591     ISO Abbreviation:  Perfusion     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-30     Completed Date:  2003-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8700166     Medline TA:  Perfusion     Country:  England    
Other Details:
Languages:  eng     Pagination:  69-72     Citation Subset:  IM    
Affiliation:
Department of Extracorporeal Circulation, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. r.brestvankempen@planet.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiopulmonary Bypass / instrumentation
Coronary Artery Bypass / instrumentation
Equipment Design
Extracorporeal Circulation / instrumentation*
Humans
Jehovah's Witnesses
Male
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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