Current paediatric perfusion practice in the UK

Elliott, Martin J.; Rao, P. Venkateswara; Hampton, Mark

doi:10.1177/026765919300800103

Cited by 19 publications

(16 citation statements)

References 4 publications

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“…the Cobe VPCML used on its smallest compartment has a foreign surface area of 10 975 cm2 (personal communication with Mark Miller, Cobe Cardiovascular Inc., Arvada, CO). Although still in debate, this concept of low volume-low foreign surface area might be beneficial, for reducing complement activation.lo°11 1 If, from a theoretical point of view, a conventional system of 500 ml had been used in CPB for the infants in our study, and if we had used the same management of CPB, the calculated mean amount of packed red cells used in the priming volume would have been 245 ± 50 ml. This is 62% more than was used in our study, and even 8% more than the total amount of packed red cells used during the whole hospital stay of the infants in the study group.…”

Section: Discussionmentioning

confidence: 87%

Low extracorporeal priming volumes for infants: a benefit?

Somer¹,

Foubert²,

Poelaert³

et al. 1996

Perfusion

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An extracorporeal circuit consisting of an oxygenator especially designed for neonatal use and appropriately sized tubing, with an average total priming volume of 205 ml, was used on 80 infants undergoing cardiac surgery for congenital heart-disease. The priming volume and foreign surface area of the circuit were determined. The influence of low priming volumes on the use of blood products and the management of cardiopulmonary bypass was studied. No whole blood or platelets were used in this study. The mean volume of packed red blood cells used over the hospital stay was 202 +/- 67 ml. The mean volume of fresh frozen plasma (FFP) used until the second postoperative day was 62 +/- 72 ml. The mean total blood loss until the second postoperative day was 15.8 +/- 9.2 ml/kg. The priming volume of the extracorporeal circuit was 62% lower than values commonly reported in the literature. The low priming volume had a strong influence on the use of platelets and FFP and to a lesser extent on the use of packed red blood cells.

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Section: Discussionmentioning

confidence: 87%

Low extracorporeal priming volumes for infants: a benefit?

Somer¹,

Foubert²,

Poelaert³

et al. 1996

Perfusion

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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. A change in preference for type of pump can be seen in Figure 6.…”

Section: Comparative Results Of Perfusion Surveysmentioning

confidence: 99%

“…1 Groom and co-authors 2 have enunciated one of the primary reasons to do a survey -namely, 'survey data offers information useful in making comparisons between current individual practices and collective practices'. Elliott et al 3 have expanded on this thought by arguing, 'It is often difficult to discover the detailed working practices of competing…”

Section: Introductionmentioning

confidence: 99%

Lessons from perfusion surveys

Kurusz

1997

Perfusion

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“…Awareness of those methods being carried out in the most successful units would ultimately improve techniques and may further reduce patient morbidity, including neonates. In a previous study, 2 …”

mentioning

confidence: 86%

European approach to cardiopulmonary bypass in neonates

Habbal

Elliott

1993

Cardiol Young

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The advent of cardiopulmonary bypass in 1953, and its subsequent continuous refinements, have securely established the specialty of cardiovascular surgery. In conjunction with the improved methods of myocardial preservation, this has allowed the safe repair of acquired and complex congenital cardiac defects. During the years, the many variables of the systems used for cardiopulmonary bypass have been altered to the point that most operations are now reproducible with, relatively, low morbidity and mortality. Although in its present form the system is quite reasonable for most routine surgery, it is far from perfect. There remains, therefore, a quest for alterations to improve the system as an ongoing process. Certain complications of open-heart surgery persist and many new and unique approaches to the concept of organ protection and the treatment of these complications must be developed and refined.

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Current paediatric perfusion practice in the UK

Cited by 19 publications

References 4 publications

Low extracorporeal priming volumes for infants: a benefit?

Low extracorporeal priming volumes for infants: a benefit?

Lessons from perfusion surveys

European approach to cardiopulmonary bypass in neonates

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