Cardiopulmonary bypass for adult patients: A survey of equipment and techniques

Silvay, George; Ammar, Tameshwar; Reich, David L.; Vela-Cantos, Frances; Joffe, Denise; Ergin, Arisan

doi:10.1016/s1053-0770(05)80097-7

Cited by 15 publications

(12 citation statements)

References 26 publications

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“…While our survey has demonstrated that these filters are widely used in GB & I, with 85% of units using an arterial line filter in all cases, and a further 4% using them in all their adult cases, it also revealed that 11% of centers never use them. This compares to 92–99% usage reported in surveys of adult (9), pediatric (10), and combined (11) practice in the USA carried out in the last 15 years. Some respondents from centers not currently using these filters suggested this was due to lack of clinical evidence, or potential issues surrounding cost.…”

Section: Discussionmentioning

confidence: 52%

“…It is important to recognize that a survey should not be used as a practice guideline. Equipment and anti‐inflammatory methods used by the majority may in time prove to be the wrong choice; in 1982 only 5% oxygenators deployed in the USA were membrane oxygenators, but by 1993, this number was 91.5% (9). Nowadays, membrane oxygenators are the accepted method of arterializing blood.…”

Section: Discussionmentioning

confidence: 99%

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Variations in the Application of Various Perfusion Technologies in Great Britain and Ireland—A National Survey

et al. 2010

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In an attempt to reduce the negative sequelae of cardiopulmonary bypass (CPB), a variety of new technologies have been created. This study investigates variations in the application of these technologies throughout Great Britain and Ireland (GB & I). All perfusion departments within GB & I were surveyed about equipment and technologies used in CPB. Eighty-five percent of units use a standard arterial line filter in all cases. Forty percent of units occasionally use leukocyte-depleting filters in various sites within the circuit. Sixteen percent always use some element of heparin-bonded circuit, but 62% never use them. Twenty-five percent use solely rotary pumps, 18% use solely centrifugal pumps, and 56% use both. Finally, 20% are now using minimal extracorporeal circulation in certain clinical scenarios. These decisions are most frequently affected by clinician preference and cost. This survey has highlighted significant variation in the utilization of various technologies used in CPB. While some variation between centers is to be expected, as innovative technologies are adopted at varying rates, surveys such as this are useful for alerting clinicians to gaps between evidence-based knowledge and clinical practice.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Variations in the Application of Various Perfusion Technologies in Great Britain and Ireland—A National Survey

et al. 2010

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“…Whereas only 5% reported exclusive use of a membrane oxygenator in Miller et al's survey 11 in 1982, by 1995 Silvay et al 21 reported its use as exceeding 90%. For paediatric perfusion, membrane oxygenators were used exclusively by all teams surveyed by Elliott et al, 3 Dehnke and Karlsson 16 and Groom et al 15 on the three most recent surveys.…”

Section: Comparative Results Of Perfusion Surveysmentioning

confidence: 96%

“…The first 21 Unfortunately, the second survey questionnaire did not ask for caseload data, thus making it difficult to derive patient incidence rates for specific types of complications that were reported. The general incidence rates for respondents observing any type of complication with either a centrifugal or roller pump associated with a patient injury or death was less than 10%.…”

Section: Surveysmentioning

confidence: 99%

Lessons from perfusion surveys

Kurusz

1997

Perfusion

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“…65 The adherence rate for the use of ALF seems not to be fluctuating over time, even when looking back at results published during the late 1990s. 67…”

Section: Discussionmentioning

confidence: 99%