Issue |
J Extra Corpor Technol
Volume 29, Number 1, March 1997
|
|
---|---|---|
Page(s) | 30 - 35 | |
DOI | https://doi.org/10.1051/ject/199729130 | |
Published online | 18 August 2023 |
Review Article
A Comparative Review of Crystalloid, Albumin, Pentastarch and Hetastarch as Perfusates for Cardiopulmonary Bypass
Department of Cardiovascular Perfusion, Queen Elizabeth II Health Sciences Center, Halifax, Nova Scotia. Canada
* Address correspondence to: Gerard J. Myers RRT, CCP 27 Stewart Harris Drive Dartmouth, Nova Scotia Canada B2W 3Z4 e-mail: edit@ra.isisnet.com
A comparative review is made of the four most common asanguineous solutions used for the priming of cardiopulmonary bypass equipment. Increasing health care costs and concerns over the administration of blood derived products has cardiac programs examining their practice of using albumin as a routine part of the priming solution for bypass. Emphasis is being placed on the use of crystalloids with synthetic colloids, or crystalloids alone, as the priming agents for extracorporeal circulation.
However new evidence has shown that the use of these solutions, without the addition of albumin, may be associated with the development of a cold induced agglutination. The data reviewed suggests that the ideal priming fluid may still not be available and recommendations are made.
Key words: perfusate / cardiopulmonary bypass / albumin / cryofibrinogen / pentastarch / cold agglutinins
© 1997 AMSECT
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