Trends and Updates on Cardiopulmonary Bypass Setup in Pediatric Cardiac Surgery.
pediatric cardiac surgery
pediatric perfusion
perfusion
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
15
09
2018
pubmed:
11
2
2019
medline:
23
6
2020
entrez:
11
2
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 30738750
pii: S1053-0770(19)30053-9
doi: 10.1053/j.jvca.2019.01.025
pii:
doi:
Substances chimiques
Albumins
0
Cardioplegic Solutions
0
Crystalloid Solutions
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2804-2813Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.