| Автор | Pearson, Derek, T |
| Автор | Holden, Michael, P |
| Автор | Poslad, Stefan, J |
| Автор | Murray, Alan |
| Автор | Waterhouse, Philip, S |
| Дата выпуска | 1986 |
| dc.description | The gas transfer characteristics and gaseous microemboli (GME) production of five different bubble oxygenators (Polystan Venotherm, Harvey H-1700, Bentley BIO-10, Gambro 10 and Shiley S-100A HED) and one membrane oxygenator (Cobe CML) have been assessed during standardized clinical perfusion for open-heart surgery in 60 adult patients. The perfusionist attempted to maintain physiological levels of PaCO <sub>2</sub> (5 ± 1 kPa) and PaO<sub>2</sub> (12 ± 2 kPa). Only 3% of blood gas values were within the normal range in the Bentley BIO-10 group compared with 17% for the Gambro 10, 20% for the Shiley S-100A HED, 31% for the Polystan Venotherm, 33% for the Cobe CML and 36% for the Harvey H-1700. The number of GME detected in the arterial line was significantly lower in the Cobe CML membrane oxygenator when compared with any of the five different bubble oxygenators (p < 0·001). The Polystan Venotherm released significantly less GME (p < 0·02) than the other oxygenators and the Shiley S-100A HED released significantly more GME (p < 0·02) than the other oxygenators except the Gambro 10. Low gas-blood flow ratios were not necessarily associated with low GME levels and inadequate oxygenation. This study provides meaningful data on which to base the choice of oxygenator, for clinical perfusions. |
| Издатель | Sage Publications |
| Название | A clinical evaluation of the performance characteristics of one membrane and five bubble oxygenators: gas transfer and gaseous microemboli production |
| Тип | Other |
| DOI | 10.1177/026765918600100103 |
| Print ISSN | 0267-6591 |
| Журнал | Perfusion |
| Том | 1 |
| Первая страница | 15 |
| Последняя страница | 27 |
| Аффилиация | Pearson, Derek, T, Regional Cardiothoracic Centre and Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne |
| Аффилиация | Holden, Michael, P, Regional Cardiothoracic Centre and Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne |
| Аффилиация | Poslad, Stefan, J, Regional Cardiothoracic Centre and Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne |
| Аффилиация | Murray, Alan, Regional Cardiothoracic Centre and Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne |
| Аффилиация | Waterhouse, Philip, S, Regional Cardiothoracic Centre and Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne |
| Выпуск | 1 |
| Библиографическая ссылка | Anonymous. Brain damage after open heart surgery [editorial ]. Lancet 1982; 1: 1161-63. |
| Библиографическая ссылка | Aberg T.Effect of open heart surgery on intellectual function. Scand J Thorac Cardiovasc Surg1974; (Suppl 15). |
| Библиографическая ссылка | Taylor KMEditorial: brain damage during open heart surgery. Thorax1982; 37: 873-76. |
| Библиографическая ссылка | Tufo HM, Ostfeld AM, Shekelle R.Central nervous system dysfunction following open heart surgery. JAMA1970; 212: 1333-40. |
| Библиографическая ссылка | Abel RM, Buckley MJ, Austen WG, Barnett GO, Beck CH, Fischer JEAcute postoperative renal failure in cardiac surgical patients. J Surg Res1976; 20: 341-48. |
| Библиографическая ссылка | Hiberman M., Myers BD, Carrie BJ, Derby G., Jamison RL, Stinson JBAcute renal failure following cardiac surgery. J Thorac Cardiovasc Surg1979; 77: 880-88. |
| Библиографическая ссылка | Collins JD, Bassendine MF, Ferner R. et al. The incidence and prognostic importance of jaundice following cardiopulmonary bypass surgery. Lancet 1983 ; 1: 1119-24. |
| Библиографическая ссылка | Bojar RM, Najafi H., de Laria JE, Serry C., Goldin MDNeurological complications of coronary revascularisation. Ann Thorac Surg1983; 36: 427-32. |
| Библиографическая ссылка | Aberg T., Ahlund P., Kihlgren M.Intellectual function after open heart surgery. Ann Thorac Surg1983; 36: 680-83. |
| Библиографическая ссылка | Aberg T., Ronquist G., Tyden H., Ahlund P., Bergstrom K.Release of adenylate kinase into cerebrospinal fluid during open heart surgery and its relationship to postoperative intellectual function. Lancet1982; 1: 1139-42. |
| Библиографическая ссылка | Shaw PJ, Bates D., Cartlidge Nef, Julian DG, Shaw DANeurological and neuropsychological complications of coronary bypass graft surgery, Quart J Med1984; 212: 531-32. |
| Библиографическая ссылка | Brennan RW, Patterson RH, Kessler J.Cerebral blood flow and metabolism during cardiopulmonary bypass: evidence of microembolic encephalopathy. Neurology1971; 21: 665-66. |
| Библиографическая ссылка | Slogoff S., Girgis KZ, Keats ASEtiologic factors in neuropsychiatric complications associated with cardiopulmonary bypass. Anaesth Analg1982 ; 61: 903-11. |
| Библиографическая ссылка | Hendriksen L., Hjelms E., Lindeburgh T.Brain hyperperfusion during cardiac operations . J Thorac Cardiovasc Surg 1983; 86: 202-208. |
| Библиографическая ссылка | Matsumoto T. , Wolferth CC Jr, Perlman MH Effects of pulsatile and non-pulsatile perfusion upon cerebral and conjunctival microcirculation in dogs. American Surgeon 1981; 37: 61-64. |
| Библиографическая ссылка | Sanderson JM , Wright G., Sims FW Brain damage in dogs immediately following pulsatile and non-pulsatile flows in extracorporeal circulation. Thorax 1972; 27: 275-86. |
| Библиографическая ссылка | Stockard JJ , Bickford RG, Myers RR, Aung MH, Dilley RB, Schauble JF Hypotension induced changes in cerebral function during cardiac surgery. Stroke 1974; 5: 730-46. |
| Библиографическая ссылка | De Wall R.What constitutes adequate perfusion? J Cardiovasc Surg1975; 16: 458-64. |
| Библиографическая ссылка | Pearson DT, Carter RF, Hammo MB, Waterhouse PSGaseous microemboli during open heart surgery. In: Longmore DB ed. Towards safer cardiac surgery . Lancaster: MTP press, 1981: 325-54. |
| Библиографическая ссылка | Austen WG, Howdry DHUltrasound as a method to detect bubbles and particulate matter in the arterial line during cardiopulmonary bypass. J Surg Res1965; 5: 283-84. |
| Библиографическая ссылка | Gallager EG , Pearson DT Ultrasonic identification of sources of gaseous microemboli during open heart surgery. Thorax 1973; 28: 295-305. |
| Библиографическая ссылка | Van den Dungen Jjam, Karliczek GF, Brenken U., Wildevuur Crh.Clinical study of blood trauma during perfusion with membrane and bubble oxygenators . J Thorac Cardiovasc Surg 1982; 83: 108-16. |
| Библиографическая ссылка | Wright G., Sanderson JMCellular aggregation and destruction during blood circulation and oxygenation . Thorax 1976; 31: 405-409. |
| Библиографическая ссылка | van Oeveren W., Kazatchkine MD, Descamps-Latscha B., Maillet F., Fischer E., Carpentier A., Wildevuur Crh.Deleterious effects of cardiopulmonary bypass: a prospective study of bubble versus membrane oxygenation. J Thorac Cardiovasc Surg1985 ; 89: 888-99. |
| Библиографическая ссылка | Newland PE, Pastoriza-Pinol JV, McMillan J., Stirling GRA report on the use of five bubble oxygenators for cardiopulmonary bypass surgery. Anaesth Intens Care1982; 10: 45-49. |
| Библиографическая ссылка | Pearson DT, Holden MP, Poslad SJ, Murray A., Waterhouse PSA clinical evaluation of the gas transfer characteristics and gaseous microemboli production of two bubble oxygenators. Life Support Systems1984; 2: 252-66. |
| Библиографическая ссылка | Pearson DT, Holden MP et al. Gaseous microemboli during open heart surgery: detection and prevention. Proc. Amer Acad Cardiovasc Perf 1983; 4: 103-109. |
| Библиографическая ссылка | Pierce CEThe membrane versus bubble oxygenator controversy. Am Thorac Surg1980; 29: 497-99. |
| Библиографическая ссылка | Parker D., Delpy DT, Halsall DNA new approach to in-line gas monitoring: development of an oxygen sensor . Medical and Biological Engineering and Computing 1983; 21: 134-37. |
| Библиографическая ссылка | Claremont DJ , Pagdin TM, Walton N. Continuous monitoring of blood PO2 in extracorporeal circuits: an in vitro analysis of a reusable oxygen electrode . Anaesthesia 1983; 39: 362-69. |
| Библиографическая ссылка | Reeder GD, Hood AGAccuracy of oxygen partial pressure measurements: an in-vitro study. J Extracorp Tech1983; 15: 89-95. |
| Библиографическая ссылка | Hill AG, Vinasky RP, Todd RW, Groom RC, Lefrak EAContinuous measurement of oxygen tension during cardiopulmonary bypass . Proc Amer Acad Cardiovasc Perf 1984; 5: 39-42. |
| Библиографическая ссылка | Lubbers DW, Opitz N.Optical fluorescence sensors for continuous measurement of chemical concentrations in biological systems. Sensors and actuators1983; 4: 641-54. |
| Библиографическая ссылка | Galletti PM, Brecher GAHeart lung bypass: principles and techniques of extracorporeal circulation . New York: Grune and Stratton , 1966. |
| Библиографическая ссылка | Walton HG, Sugden EH, White JAA look at the BOS-10 and H-1500 oxygenators. J Extracorp Tech1982; 14: 405-409. |
| Библиографическая ссылка | Kemna GD, Docherty JPA comparison of the Bentley BOS-10, Shiley S-100 and Polystan Venotherm oxygenators during high flow perfusion and moderate hypothermia. Proc Amer Soc Extracorp Tech1978: 107-13. |
| Библиографическая ссылка | Riley JB, Hurdle MB, Winn BA, Jallad MSUse of nitrogen in ventilation of artificial blood oxygenators. J Extracorp Tech1984; 16: 45-46. |
| Библиографическая ссылка | Yost G.The bubble oxygenator as a source of gaseous microemboli. Med Instrument1985; 19: 67-79. |
| Библиографическая ссылка | Bastianen GWThe use of air with bubble oxygenators and its influence on the formation of microgas emboli. J NESECC1984; 9: 25-27. |
| Библиографическая ссылка | Furness A., Wright G.Detection of bubbles in blood vessels and extracorporeal circuits. Letter to editor. Med Biol Eng Comp1979; 17: 534-35. |
| Библиографическая ссылка | Moulinier H. , Mausurel G. Detection of bubbles in blood vessels and the evaluation of their flow. Med Biol Eng Comp 1978; 16: 585-88. |
| Библиографическая ссылка | Lubbers J., van den Berg JWAn ultrasonic detector for microemboli. Ultrasound in Med Biol1976; 2: 301-10. |
| Библиографическая ссылка | Butler BDMicrobubble production by bubble oxygenators. J Extracorp Tech1983; 15: 23-24. |
| Библиографическая ссылка | Ferguson TB , Burbank A., Burford TH The disposable bubble oxygenator. Evaluation of an improved model. Surgery 1967; 61: 260-64. |
| Библиографическая ссылка | Hammond GL, Bowley WWBubble mechanics and oxygen transfer. J Thorac Cardiovasc Surg1976; 71: 422-28. |
| Библиографическая ссылка | Butler BDBiophysical aspects of gas bubbles in blood. Med Instrument1985; 19: 59-62. |
| Библиографическая ссылка | Taylor KM, Devlin BJ, Mittra SM, Gillan JG, Brannan JJ, McKenna JMAssessment of cerebral damage during open heart surgery. A new experimental model. Scand J Thorac Cardiovasc Surg1980 ; 14: 197-203. |
| Библиографическая ссылка | Swan H.The importance of acid-base management for cardiac and cerebral protection during open heart operations. Surg Gynae Obstet1984; 158: 391-414. |
| Библиографическая ссылка | Boers M., Van den Dungen Jjam, Karlicek GF, Brenken U., Hoaman van der Heide JN, Wildevuur Crh.Two membrane oxygenators and a bubbler: a clinical comparison. Ann Thorac Surg1983; 35: 455-62. |
