Document Detail


Specific requirements for bloodless cardiopulmonary bypass in neonates and infants; a review.
MedLine Citation:
PMID:  20576727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hanna D Golab; Johanna Jm Takkenberg; Ad J J C Bogers
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-06-24
Journal Detail:
Title:  Perfusion     Volume:  25     ISSN:  1477-111X     ISO Abbreviation:  Perfusion     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-03     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700166     Medline TA:  Perfusion     Country:  England    
Other Details:
Languages:  eng     Pagination:  237-43     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery Erasmus MC, University Medical Center Rotterdam, Gravendijkwal 230 3015 CE Rotterdam, The Netherlands. h.golab-schwarz@erasmusmc.nl
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MeSH Terms
Descriptor/Qualifier:
Blood Volume
Cardiac Surgical Procedures / methods*
Cardiopulmonary Bypass / methods*
Hemodilution / methods
Humans
Infant
Infant, Newborn

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


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