The effect of vacuum-assisted venous drainage on hemolysis during cardiopulmonary bypass.

CABG Venous drainage cardiopulmonary bypass hemolysis vacuum-assistance

Journal

American journal of cardiovascular disease
ISSN: 2160-200X
Titre abrégé: Am J Cardiovasc Dis
Pays: United States
ID NLM: 101569582

Informations de publication

Date de publication:
2020
Historique:
received: 01 07 2020
accepted: 25 09 2020
entrez: 23 11 2020
pubmed: 24 11 2020
medline: 24 11 2020
Statut: epublish

Résumé

In cardiac surgery, systemic venous drainage is provided by gravity. During the procedure, the amount of venous drainage can be increased by using a vacuum-assisted venous drainage (VAVD) technique. The purpose of this study is to compare the effects of VAVD and gravitational drainage (GD) techniques on hemolysis. Totally, 60 patients were included in the study. The patients were separated into three groups, and each group designed with 20 patients: Groups are defined as Group 1 (-40 mmHg VAVD), Group 2 (-60 mmHg VAVD), and Group 3 (GD). Preoperative and postoperative values of lactate dehydrogenase (LDH), haptoglobin (Hpt), mean platelet volume (MVP), and platelet count (Plt) were evaluated. The duration of cardiopulmonary bypass, cross-clamp, and vacuum assistance times were similar in all groups (P > 0.05), whereas Group GD required more additional volume to maintain adequate perfusion (P = 0.034). Preoperative and postoperative measurements showed no significant difference in terms of LDH, MVP, Plt, and Hpt among the groups (P > 0.05). There was no significant increase in hemolysis among the groups, which demonstrates that the VAVD technique, even if lower negative pressure is preferred, can be applied safely and effectively to improve venous drainage and consequently, cardiac decompression, even if smaller venous cannulas are used, and also avoid from superfluous fluid addition to sustain adequate extracorporeal perfusion.

Sections du résumé

BACKGROUND BACKGROUND
In cardiac surgery, systemic venous drainage is provided by gravity. During the procedure, the amount of venous drainage can be increased by using a vacuum-assisted venous drainage (VAVD) technique. The purpose of this study is to compare the effects of VAVD and gravitational drainage (GD) techniques on hemolysis.
METHODS METHODS
Totally, 60 patients were included in the study. The patients were separated into three groups, and each group designed with 20 patients: Groups are defined as Group 1 (-40 mmHg VAVD), Group 2 (-60 mmHg VAVD), and Group 3 (GD). Preoperative and postoperative values of lactate dehydrogenase (LDH), haptoglobin (Hpt), mean platelet volume (MVP), and platelet count (Plt) were evaluated.
RESULTS RESULTS
The duration of cardiopulmonary bypass, cross-clamp, and vacuum assistance times were similar in all groups (P > 0.05), whereas Group GD required more additional volume to maintain adequate perfusion (P = 0.034). Preoperative and postoperative measurements showed no significant difference in terms of LDH, MVP, Plt, and Hpt among the groups (P > 0.05).
CONCLUSION CONCLUSIONS
There was no significant increase in hemolysis among the groups, which demonstrates that the VAVD technique, even if lower negative pressure is preferred, can be applied safely and effectively to improve venous drainage and consequently, cardiac decompression, even if smaller venous cannulas are used, and also avoid from superfluous fluid addition to sustain adequate extracorporeal perfusion.

Identifiants

pubmed: 33224598
pmc: PMC7675161

Types de publication

Journal Article

Langues

eng

Pagination

473-478

Informations de copyright

AJCD Copyright © 2020.

Déclaration de conflit d'intérêts

None.

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Auteurs

Sibel Aydin (S)

Department of Perfusion, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital Istanbul 34870, Turkey.

Davut Cekmecelioglu (D)

Department of Cardiovascular Surgery, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital Istanbul 34870, Turkey.
Department of Cardiothoracic Surgery, Baylor College of Medicine Houston, TX, USA.

Serkan Celik (S)

Department of Cardiovascular Surgery, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital Istanbul 34870, Turkey.

Ismail Yerli (I)

Department of Perfusion, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital Istanbul 34870, Turkey.

Kaan Kirali (K)

Department of Cardiovascular Surgery, University of Health Sciences, Koşuyolu High Specialty Education and Research Hospital Istanbul 34870, Turkey.

Classifications MeSH