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Trends and Updates on Cardiopulmonary Bypass Setup in Pediatric Cardiac Surgery.

Abstract：

:Perfusion strategies for cardiopulmonary bypass have direct consequences on pediatric cardiac surgery outcomes. However, inconsistent study results and a lack of uniform evidence-based guidelines for pediatric cardiopulmonary bypass management have led to considerable variability in perfusion practices among, and even within, institutions. Important aspects of cardiopulmonary bypass that can be optimized to improve clinical outcomes of pediatric patients undergoing cardiac surgery include extracorporeal circuit components, priming solutions, and additives. This review summarizes the current literature on circuit components and priming solution composition with an emphasis on crystalloid, colloid, and blood-based primes, as well as mannitol, bicarbonate, and calcium.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Medikonda R,Ong CS,Wadia R,Goswami D,Schwartz J,Wolff L,Hibino N,Vricella L,Nyhan D,Barodka V,Steppan J

doi

10.1053/j.jvca.2019.01.025

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

2804-2813

issue

10

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(19)30053-9

journal_volume

33

pub_type

杂志文章,评审

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