First clinical experience with the air purge control and electrical remote-controlled tubing clamp in mini bypass

被引:8
作者
Huybregts, Rien M. A. J. M.
Veerman, Derk P.
Vonk, Alexander B. A.
Nesselaar, Alfred F.
Paulus, Reggie C. E.
Thone-Passchier, Deirdre H.
Smith, Annette L.
de Vroege, Roel
机构
[1] Vrije Univ Amsterdam, Med Ctr, Dept Cardiothorac Surg, NL-1007 MB Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, Dept Anesthesiol, NL-1007 MB Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Med Ctr, Dept Extracorp Circulat, NL-1007 MB Amsterdam, Netherlands
关键词
cardiopulmonary bypass; mini bypass; safety; air handling; air purge control; gaseous microemboli;
D O I
10.1111/j.1525-1594.2006.00291.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Most mini bypass systems do not contain a venous and cardiotomy reservoir in the cardiopulmonary bypass (CPB) circuit and lack the capability to remove venous air. In conjunction with the manufacturer the air purge control system, a system which automatically removes air that is captured in a venous bubble trap, has been developed. This system is combined with an electrical remote clamp, which automatically clamps the arterial line in case air leaves the bubble trap. Twenty consecutive patients undergoing surgery with CPB were included in this clinical validation. Venous air was removed by the air purge control during bypass. The electrical remote clamp was never activated by the system, confirming that the air purge control adequately removed venous air during these cases. The air purge control, in conjunction with the electrical remote clamp, is a valuable safety feature in mini bypass, enhancing patient safety and user friendliness while providing a level of safety equivalent to those of conventional bypass systems.
引用
收藏
页码:721 / 724
页数:5
相关论文
共 10 条
[1]   Impact of embolization during coronary artery bypass grafting on outcome and length of stay [J].
Barbut, D ;
Lo, YW ;
Gold, JP ;
Trifiletti, RR ;
Yao, FSF ;
Hager, DN ;
Hinton, RB ;
Isom, OW .
ANNALS OF THORACIC SURGERY, 1997, 63 (04) :998-1002
[2]  
Borger Michael A, 2002, J Extra Corpor Technol, V34, P29
[3]   Induction and detection of disturbed homeostasis in cardiopulmonary bypass [J].
de Vroege, R ;
Meerman, FT ;
Eijsman, L ;
Wildevuur, WR ;
Wildevuur, CRH ;
van Oeveren, W .
PERFUSION-UK, 2004, 19 (05) :267-276
[4]   Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation [J].
Fromes, Y ;
Gaillard, D ;
Ponzio, O ;
Chauffert, M ;
Gerhardt, MF ;
Deleuze, P ;
Bical, OM .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 22 (04) :527-533
[5]   The use of a mini bypass system (Cobe Synergy) without venous and cardiotomy reservoir in a mitral valve repair: a case report [J].
Huybregts, MAJM ;
de Vroege, R ;
Christiaans, HMT ;
Smith, AL ;
Paulus, RCE .
PERFUSION-UK, 2005, 20 (02) :121-124
[6]  
Jones Timothy J, 2002, J Extra Corpor Technol, V34, P34
[7]   Miniaturized cardiopulmonary bypass in coronary artery bypass surgery: Marginal impact on inflammation and coagulation but loss of safety margins - Invited commentary [J].
Nollert, G ;
Schwabenland, I ;
Maktav, D ;
Kur, F ;
Christ, F ;
Fraunberger, P ;
Reichart, B ;
Vicol, C .
ANNALS OF THORACIC SURGERY, 2005, 80 (06) :2326-2332
[8]   Cerebral microemboli during cardiopulmonary bypass: Increased emboli during perfusionist interventions [J].
Taylor, RL ;
Borger, MA ;
Weisel, RD ;
Fedorko, L ;
Feindel, CM .
ANNALS OF THORACIC SURGERY, 1999, 68 (01) :89-93
[9]   The use of leucocyte-depleting and conventional arterial line filters in cardiac surgery: a systematic review of clinical studies [J].
Whitaker, DC ;
Stygall, JA ;
Newman, SP ;
Harrison, MJG .
PERFUSION-UK, 2001, 16 (06) :433-446
[10]  
YATES SL, 2000, CURR ANAESTH CRIT CA, V11, P187