Pediatric cardiopulmonary bypass: a review of current practice.
Document Type
Article
Publication Date
1-1-1996
Journal Title
International anesthesiology clinics
MeSH Headings
Antifibrinolytic Agents, Aprotinin, Cardiac Surgical Procedures, Cardiopulmonary Bypass, Child, Equipment Design, Equipment Safety, Erythrocyte Transfusion, Hemofiltration, Hemostatics, Humans, Oxygenators, Membrane, Ultrafiltration
Abstract
Devices and techniques used for pediatric cardiopulmonary bypass are ever changing. There are frequently reports in the literature about new techniques and new devices. Periodic surveys are helpful because they reveal the actual extent to which these techniques and devices are applied to clinical practice. Advances in research are bringing about a better understanding of the intricate aspects of CPB and the effects of CPB on pediatric patients. There appears to be a trend from widely divergent approaches to CPB for pediatric patients to more uniformity in practice. For example, the use of membrane oxygenation and arterial line filtration has become universal, and there is an increase in the use of all types of safety devices. Techniques reported in the medical literature at the beginning of the decade, such as, the use of modified ultrafiltration, the use of centrifugal cell washers to process packed red blood cells before adding them to the prime, and the use of the antifibrinolytic drug, aprotinin, have become part of practice at a large number of pediatric heart centers. Periodic surveys are useful, as they provide a measurement of current practice. They also provide a historical record of the advances in the field.
ISSN
0020-5907
First Page
141
Last Page
163
Recommended Citation
Groom, R C; Akl, B F; Albus, R; and Lefrak, E A, "Pediatric cardiopulmonary bypass: a review of current practice." (1996). Maine Medical Center. 869.
https://knowledgeconnection.mainehealth.org/mmc/869
