Issue |
J Extra Corpor Technol
Volume 42, Number 2, June 2010
|
|
---|---|---|
Page(s) | 153 - 157 | |
DOI | https://doi.org/10.1051/ject/201042153 | |
Published online | 15 June 2010 |
Abstract
Disconnection of Cobe SMARxT® Tubing from the Venous Outlet of the Terumo Capiox® SX25RX Oxygenator During Cardiopulmonary Bypass
* Ashford Hospital, Ashford, South Australia
† Flinders Medical Centre, Bedford Park, Adelaide, South Australia, Australia
‡ Flinders University, Bedford Park, Adelaide, South Australia, Australia
Address correspondence to: Robert A. Baker, Associate Professor, Director of Cardiac Surgical Research and Perfusion, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, Australia. E-mail: Rob.Baker@flinders.sa.edu.au
Received:
24
August
2009
Accepted:
25
February
2010
The use of surface modified, biocompatible tubing in cardiopulmonary bypass has been reported to decrease the inflammatory responses caused by blood contact with the non endothelial surface of poly vinyl chloride (PVC) tubing. The combination of advances in biocompatible tubing and increased affordability resulted in a change to our cardiopulmonary bypass circuit, with the Terumo Capiox® SX25 oxygenator and Cobe PVC tubing being replaced with a Terumo Capiox® SX25RX (with X coating) and Cobe SMARxT® tubing. Prior to the introduction of the coated oxygenator, no connection problems had been evident. One unrelated disconnection involving coated tubing was reported in June 2005 to the Australian and New Zealand College of Perfusionists Perfusion Incident Reporting System. At this time we revised all of our set up protocols and the recommended actions from manufacturers. We further report three separate incidents of pump boot disconnection from the venous reservoir outlet of the oxygenator during bypass (that occurred within a 13-month period), and an outline of immediate and prospective evaluation of the probable cause. We propose that SMARxT® 3/8″ × 3/32″ tubing should not be used on the venous outlet connector of Terumo Capiox® SX25RX oxygenators. It appears as though the design of the outlet combined with the properties of SMARxT® tubing may contribute to the disconnection.
Key words: biocompatible surfaces / disconnection
© 2010 AMSECT
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