Abstract
Hemodilution is a prominent problem in cardiopulmonary bypass in a pediatric population. Ultrafiltration is a method used to reduce fluid volume and tissue edema and to increase hematocrit without the need for blood products. Modified ultrafiltration may offer advantages in comparison with conventional ultrafiltration. This article reviews the technique of modified ultrafiltration and its use, results, complications, and safety in pediatric cardiopulmonary bypass. Modified ultrafiltration in pediatric cardiopulmonary bypass reduces total body water and serum levels of inflammatory mediators. It results in an elevated hematocrit without the need for transfusion, improved pulmonary compliance in the immediate postbypass period, and probably improved cerebral metabolic recovery after deep hypothermic circulatory arrest. Modified ultrafiltration can be performed safely in neonatal patients after cardiopulmonary bypass and offers advantages in comparison with conventional ultrafiltration.
References
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·L A SkaryakJ W Gaynor
Nov 1, 1994·Anesthesiology·D JournoisD Safran
Dec 1, 1993·The Annals of Thoracic Surgery·M J Elliott
Feb 1, 1996·The Annals of Thoracic Surgery·M J WangS H Chu
Nov 1, 1996·The Annals of Thoracic Surgery·L A SkaryakJ W Gaynor
Feb 25, 1998·The Journal of Thoracic and Cardiovascular Surgery·C W DaggettR M Ungerleider
Feb 25, 1998·The Journal of Thoracic and Cardiovascular Surgery·M J DaviesM J Elliott
Jan 1, 1993·Perfusion·S K Naik, M J Elliott
Citations
Aug 15, 2012·Pediatric Cardiology·George T NicholsonWilliam T Mahle
Jan 16, 2002·The Annals of Thoracic Surgery·E R Stephenson, J L Myers
May 3, 2000·Paediatric Anaesthesia·C L Lake
Jun 25, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Gengxu ZhouZhenxiao Jin
Feb 18, 2010·Current Problems in Surgery·Avihu Z GazitA Thomas Pezzella
Feb 24, 2007·Heart, Lung & Circulation·Shiv Kumar ChoudharyPanangipalli Venugopal
Jul 7, 1999·Journal of Cardiothoracic and Vascular Anesthesia·L K Davies
Jun 3, 2004·The Journal of Thoracic and Cardiovascular Surgery·Pascal A BerdatThierry Carrel
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·James Jaggers, Ross M. Ungerleider
Dec 5, 2006·The Journal of Thoracic and Cardiovascular Surgery·Glyn D WilliamsVadiyala M Reddy
Jul 26, 2005·The Annals of Thoracic Surgery·Shelley RiphagenIan A Murdoch
Dec 17, 2010·World Journal of Cardiology·Yves Durandy
May 16, 2000·Critical Care Medicine·J Amato
Jun 23, 2001·Perfusion·K R GlogowskiC C Trowbridge
Jun 24, 2000·Perfusion·M Codispoti, P S Mankad
Sep 28, 1999·Perfusion·C L LauJ Jaggers
Nov 9, 2019·World Journal for Pediatric & Congenital Heart Surgery·Joel BiererDavid Horne
Sep 23, 2000·Perfusion·G J MyersD B Ross
Apr 21, 2007·General Thoracic and Cardiovascular Surgery·Shin TakabayashiHideki Iwata