| Issue |
J Extra Corpor Technol
Volume 38, Number 2, June 2006
|
|
|---|---|---|
| Page(s) | 154 - 156 | |
| DOI | https://doi.org/10.1051/ject/200638154 | |
| Published online | 15 June 2006 | |
Abstract
Autologous Priming Technique to Reduce Blood Transfusion in Pediatric Cardiopulmonary Bypass
Address correspondence to: Jacob Ostrowsky, BS, CCP, Rainbow Babies and Children’s Hospital, University Hospitals Health System, 11100 Euclid Avenue, Cleveland, OH 44106, E-mail: ostrowsky.jacob@uhhs.com
Excessive hemodilution during cardiopulmonary bypass is associated with decreased oxygen carrying capacity, edema, and organ dysfunction. The use of blood products is often necessary to prime the extracorporeal circuit for pediatric cardiac surgical patients. However, the use of blood products carries serious risks both in the acute and long-term aspects of patient care. Autologous priming of the extracorporeal circuit used in conjunction with ultrafiltration, pharmacologic manipulation, and cell salvage may decrease the need for blood transfusion in the pediatric cardiac surgical population. We have developed a technique that enables us to perform transfusionless complex congenital heart repair targeting patients as small as 5 kg.
Key words: autologous priming / pediatric cardiopulmonary bypass / blood conservation / hemodilution
© 2006 AMSECT
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