Pediatric Cardiopulmonary Bypass: Does Perfusion Mode Matter?

被引：5
|
作者：
Talor, Jonathan J. [1 ,2 ]
Undar, Akif [1 ,2 ]
机构：
[1] Penn State Childrens Hosp, Penn State Coll Med, Penn State Milton S Hershey Med Ctr, Hershey, PA 17033 USA
[2] Penn State Childrens Hosp, Penn State Coll Med, Penn State Hershey Pediat Cardiovasc Res Ctr, Hershey, PA 17033 USA
来源：
WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY | 2011年 / 2卷 / 02期
关键词：
cardiopulmonary bypass (CPB); neonate; pediatric; perfusion;
D O I：
10.1177/2150135110394218
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This current review describes how components of the cardiopulmonary bypass (CPB) circuit are selected and examines the benefits of pulsatile perfusion for use during CPB. Pulsatile flow generates significantly greater surplus hemodynamic energy (SHE) than nonpulsatile flow; higher SHE values have been associated with better microcirculation perfusion, lower rates of systemic inflammatory response, and better vital organ protection. Pulsatile perfusion may have a positive effect on clinical outcomes, play a role in preserving homeostasis, and help to decrease morbidity associated with CPB.
引用
收藏
页码：296 / 300
页数：5
相关论文
共 50 条
  • [21] Determinants of cerebral perfusion during cardiopulmonary bypass
    ODwyer, C
    Prough, DS
    Johnston, WE
    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 1996, 10 (01) : 54 - 65
  • [22] EFFECT OF CARDIOPULMONARY BYPASS ON GASTROINTESTINAL PERFUSION AND FUNCTION
    GAER, JAR
    SHAW, ADS
    WILD, R
    SWIFT, RI
    MUNSCH, CM
    SMITH, PLC
    TAYLOR, KM
    ANNALS OF THORACIC SURGERY, 1994, 57 (02): : 371 - 375
  • [23] Improving splanchnic perfusion during cardiopulmonary bypass
    Johnston, WE
    Zwischenberger, JB
    ANESTHESIOLOGY, 2000, 92 (02) : 305 - 307
  • [24] RETROGRADE AORTIC PERFUSION BY PARTIAL CARDIOPULMONARY BYPASS
    HANSON, EL
    LEHR, JL
    STETZ, CW
    KELMAN, JA
    BONNETEYMARD, J
    DRINKER, PA
    ARCHIVES OF SURGERY, 1975, 110 (01) : 86 - 89
  • [25] Evaluation of four pediatric cardiopulmonary bypass circuits in terms of perfusion quality and capturing gaseous microemboli
    Mathis, R. K.
    Lin, J.
    Dogal, N. M.
    Qiu, F.
    Kunselman, A.
    Wang, S.
    Uendar, A.
    PERFUSION-UK, 2012, 27 (06): : 470 - 479
  • [26] NONPULSATILE MODE OF BLOOD-FLOW REQUIRED FOR CARDIOPULMONARY BYPASS AND TOTAL-BODY PERFUSION
    NOSE, Y
    ARTIFICIAL ORGANS, 1993, 17 (02) : 92 - 102
  • [27] Cardiopulmonary bypass for pediatric cardiac surgery
    Hirata, Yasutaka
    GENERAL THORACIC AND CARDIOVASCULAR SURGERY, 2018, 66 (02) : 65 - 70
  • [28] Normothermic cardiopulmonary bypass in pediatric surgery
    Durandy, Y
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (01): : 194 - 194
  • [29] Recent Advances in Pediatric Cardiopulmonary Bypass
    McRobb, Craig M.
    Mejak, Brian L.
    Ellis, W. Cory
    Lawson, D. Scott
    Twite, Mark D.
    SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2014, 18 (02) : 153 - 160
  • [30] The influence of cardiopulmonary bypass on pediatric pharmacokinetics
    van Saet, Annewil
    Tibboel, Dick
    EXPERT OPINION ON DRUG METABOLISM & TOXICOLOGY, 2023, 19 (06) : 333 - 344
12345