TY - JOUR
T1 - Trends and Updates on Cardiopulmonary Bypass Setup in Pediatric Cardiac Surgery
AU - Medikonda, Ravi
AU - Ong, Chin Siang
AU - Wadia, Rajeev
AU - Goswami, Dheeraj
AU - Schwartz, Jamie
AU - Wolff, Larry
AU - Hibino, Narutoshi
AU - Vricella, Luca
AU - Nyhan, Daniel
AU - Barodka, Viachaslau
AU - Steppan, Jochen
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/10
Y1 - 2019/10
N2 - Perfusion strategies for cardiopulmonary bypass have direct consequences on pediatric cardiac surgery outcomes. However, inconsistent study results and a lack of uniform evidence-based guidelines for pediatric cardiopulmonary bypass management have led to considerable variability in perfusion practices among, and even within, institutions. Important aspects of cardiopulmonary bypass that can be optimized to improve clinical outcomes of pediatric patients undergoing cardiac surgery include extracorporeal circuit components, priming solutions, and additives. This review summarizes the current literature on circuit components and priming solution composition with an emphasis on crystalloid, colloid, and blood-based primes, as well as mannitol, bicarbonate, and calcium.
AB - Perfusion strategies for cardiopulmonary bypass have direct consequences on pediatric cardiac surgery outcomes. However, inconsistent study results and a lack of uniform evidence-based guidelines for pediatric cardiopulmonary bypass management have led to considerable variability in perfusion practices among, and even within, institutions. Important aspects of cardiopulmonary bypass that can be optimized to improve clinical outcomes of pediatric patients undergoing cardiac surgery include extracorporeal circuit components, priming solutions, and additives. This review summarizes the current literature on circuit components and priming solution composition with an emphasis on crystalloid, colloid, and blood-based primes, as well as mannitol, bicarbonate, and calcium.
KW - pediatric cardiac surgery
KW - pediatric perfusion
KW - perfusion
UR - http://www.scopus.com/inward/record.url?scp=85061067744&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85061067744&partnerID=8YFLogxK
U2 - 10.1053/j.jvca.2019.01.025
DO - 10.1053/j.jvca.2019.01.025
M3 - Review article
C2 - 30738750
AN - SCOPUS:85061067744
SN - 1053-0770
VL - 33
SP - 2804
EP - 2813
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
IS - 10
ER -