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Continuous perfusion without hemodilution in neonates—the experience at the Marie Lannelongue Hospital

Published online by Cambridge University Press:  19 August 2008

François Lacour-Gayet ,
François Nicolas ,
José Coil ,
Jean Pierre Daniel ,
Michel Weiss ,
J. Pelissie ,
Jacqueline Bruniaux  and
Claude Planché
François Lacour-Gayet*
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
François Nicolas
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
José Coil
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
Jean Pierre Daniel
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
Michel Weiss
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
J. Pelissie
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
Jacqueline Bruniaux
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
Claude Planché
Affiliation:
From Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis Robinson
*
Dr. François Lacour-Gayer, Marie Lannelongue Hospital, 113 Avenue de la Resistance, 92350 Le Plessis Robinson, France.
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Extract

Cardiopulmonary bypass in neonates is markedly different from the procedure used in children above 10 kg and in adults. There are two major reasons for this—first, the mismatch between the volume of the heart-lung machine circuit and that of the blood in the patient and second, the immaturity of tissues in the first three months of life.

Keywords

Priminghematocritfull flow perfusioncirculatory arrest
Type
World Forum for Pediatric Cardiology Symposium on Cardiopulmonary Bypass (Part 2)
Information
Cardiology in the Young , Volume 3 , Issue 4 , October 1993 , pp. 340 - 346
Copyright
Copyright © Cambridge University Press 1993

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References

1.Kirklin, JW, Barratt-Boyes, BG, Jonas, RA. Hypothermia, circulatory arrest and cardiopulmonary bypass. In: Cardiac Surgery. John Wiley & Sons, 1992, pp 29–82.Google Scholar
2.Hashimoto, K, Miyamoto, H, Suzuki, K, Kurosawa, H. Evidence of organ damage after cardiopulmonary bypass. The role of elastase and vasoactive mediators. J Thorac Cardiovasc Surg 1992; 104: 666–673.CrossRefGoogle ScholarPubMed
3.Kirklin, JK, Westaby, S, Blackstone, EH, Pacifico, AD. Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg 1983; 86: 845–857.CrossRefGoogle ScholarPubMed
4.Mavroudis, C, Ebert, PA. Hemodilution causes decreased compliance in puppies. Circulation 1978; 58(Suppl I): I 155–I 159.Google ScholarPubMed
5.English, TAH, Digerness, S, Kirklin, JW. Changes in colloid osmotic pressure during and shortly after open intracardiac operation. J Thorac Cardiovasc Surg 1971; 61: 338–341.CrossRefGoogle ScholarPubMed
6.Webber, CE, Garnett, ES. The relationship between colloid osmotic pressure and plasma proteins during and after car diopulmonary bypass. J Thorac Cardiovasc Surg 1973; 65: 234–237.CrossRefGoogle Scholar
7.Karl, TR, Watterson, KG, Sano, S, Mee, RB. Operations for subaortic stenosis in univentricular Hearts. Ann Thorac Surg 1991; 52: 420–428.CrossRefGoogle ScholarPubMed
8.Elliott, MJ, Hamilton, JRL. Perfusion for paediatricopen-heart surgery. Perfusion 1990; 5: 1–8.CrossRefGoogle ScholarPubMed
9.Naik, SK, Knight, A, Elliott, MJ. A successful modification of ultrafiltration for cardiopulmonary bypass in children. Perfusion 1991; 6:41–50.CrossRefGoogle ScholarPubMed
10.Yeh, TJ, Parmar, JM, Rebeyka, IM, Wechsler, AS. Limiting edema in neonatal cardiopulmonary bypass with narrow-range molecular weight hydroxyethyl starch. J Thorac Cardiovasc Surg 1992; 104: 659–665.CrossRefGoogle ScholarPubMed
11.Planche, C, Bruniaux, J, Lacour-Gayet, F, Kachaner, J, Binet, JP, Sidi, D, Villain, E. Switch operation for transposition of the great arteries in neonates. A study of 120 patients. J Thorac Cardiovas Surg 1988; 96: 354–363.CrossRefGoogle ScholarPubMed
12.Greeley, WJ, Bushman, GA, Kong, DL, Peterson, MB. Effects of cardiopulmonary bypass on eicosanoid metabolism during pediatric cardiovascular surgery. J Thorac Cardiovasc Surg 1988; 95: 842–849.CrossRefGoogle ScholarPubMed
13.Ratcliffe, JM, Wyse, RKH, Hunter, S, Elliott, MJ. The role ofthe priming fluid in the metabolic response to cardiopulmonary bypass in children of less than 15 kg body weight undergoing open-heartsurgeiy. Thorac Cardiovasc Surgeon 1988; 36:65–74.CrossRefGoogle Scholar
14.Ridley, PD, Ratcliffe, JM, Alberti, KG, Elliott, MJ. The meta bolic consequences of a “washed” cardiopulmonary bypass pump-priming fluid in children undergoing cardiac opera tions. J Thorac Cardiovasc Surg 1990; 100: 528–537.CrossRefGoogle Scholar
15.Lonnqvist, A, Dobbs, J. Glucose, sodium and plasma protein levels during deep hypothermic circulatory arrest using a low volume, minimal glucose priming solution based on washed packed red cells. Perfusion 1991; 6: 23–30.CrossRefGoogle Scholar
16.van der Linden, J, Priddy, R, Ekroth, R, Lincoln, C, Pugsley, W, Scallan, M, Tyden, H. Cerebral perfusion and metabolism during profound hypothermia in children. A study of middle cerebral artery ultrasonic variables and cerebral extraction of oxygen. J Thorac Cardiovasc Surg 1991; 102: 103–114.CrossRefGoogle ScholarPubMed
17.Wells, FC, Coghill, S, Caplan, HL, Lincoln, C. Duration of circulatory arrest does influence the psychological development of children after cardiac operation in early life. J Thorac Cardiovasc Surg 1983; 86: 823–831.CrossRefGoogle ScholarPubMed
18.Molina, JE, Einzig, S, Mastri, AR, Clack, RM. Brain damage in profound hypothermia. J Thorac Cardiovasc Surg 1984; 87: 596–604.CrossRefGoogle ScholarPubMed
19.Nicolas, F, Bruniaux, J, Planche, C, Binet, JP. Recent techniques of cardiopulmonary bypass in infancy. Proceedings of the symposium on thirty years of extracorporeal circulation. Deutsches Herzzentrum, Munich, 1986.Google Scholar
20.Sinard, JM, Bartlett, RH. Extracorporeal membrane oxygen ation (ECMO): prolonged bedside cardiopulmonary bypass. Perfusion 1990; 5: 239–249.CrossRefGoogle Scholar
21.Novak, I, Davies, PSW, Elliott, MJ. Noninvasive estimation of total body water in critically ill children after cardiac opera tions. Validation of a bioelectric impedance method. J Thorac Cardiovasc Surg 1992; 104: 585–589.CrossRefGoogle Scholar