Pediatric cardiopulmonary bypass: A review of current practice

International Anesthesiology Clinics

Volumn 34, Issue 2, 1996, Pages 141-163

  Groom, Robert C ^b   Akl, Bechara F ^b   Albus, Robert ^b   Lefrak, Edward A ^b  

^a INOVA FAIRFAX HOSPITAL   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ASSISTED CIRCULATION; BLOOD FILTRATION; BLOOD PRESSURE MONITORING; BLOOD PUMP; CARDIOPULMONARY BYPASS; HEART PERFUSION; HEART PROTECTION; HUMAN; INDUCED HYPOTHERMIA; OPEN HEART SURGERY; OXYGENATION; PEDIATRIC SURGERY; PRIORITY JOURNAL; REVIEW; ULTRAFILTRATION;

EID: 0029882338     PISSN: 00205907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004311-199603420-00012     Document Type: Review

References (90)

1. Lillehei CW. Historical development of cardiopulmonary bypass. In: Gravlee GP, Davis RF, Utley JR, ed. Cardiopulmonary Bypass: Principles and Practice. Baltimore: Williams & Wilkins, 1993:1
2. Jonas RA. Metabolic response. In: Jonas RA, Elliott MJ, eds. Cardiopulmonary Bypass in Neonates, Infants, and Young Children. Oxford: Butterworth-Heinemann, Ltd, 1994:205-224
3. Blackstone EH, Kirklin JW, Stewart RW, et al. Damaging effects of cardiopulmonary bypass on prostaglandins. In: Wu KK, Rossi EC, eds. Clinical Medicine, Cardiovascular and Thrombotic Disorders. Chicago: Year Book, 1982:355-369
4. Kirklin JK, Westaby S, Blackstone EH, et al. Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg 1983;86:845-857
5. Kern FH, Hickey PR. The effects of cardiopulmonary bypass on the brain. In: Jonas RA, Elliott MJ, eds. Cardiopulmonary Bypass in Neonates, Infants, and Young Children. Oxford: Butterworth-Heinemann, Ltd, 1994:263-281
6. Groom RC, Hill AG, Akl BF, et al. Pediatric perfusion survey. Proceedings of the American Academy of Cardiovascular Perfusion 1990;11:79-84
7. Groom RC, Hill AG, Kurusz M, et al. Paediatric perfusion practice in North America: an update. Perfusion 1995;10:393-401
8. Tramner BI, Gross CE, Kindt GW, et al. Pulsatile versus non-pulsatile flow in the treatment of acute cerebral ischemia. Neurosurgery 1986;19:724
9. Watanabe T, Orita H, Kobayashi M, et al. Brain tissue pH, oxygen tension, carbon dioxide tension in profoundly hypothermic cardiopulmonary bypass. J Thorac Cardiovasc Surg 1989;97:396-401
10. Taylor KM, Bain WH, Maxted KJ, et al. Comparative studies of pulsatile flow during cardiopulmonary bypass I: pulsatile system employed and its hematological effects. J Thorac Cardiovasc Surg 1978;75:569-573
11. Taylor KM, Wright GS, Reid JM, et al. Comparative studies of pulsatile flow during cardiopulmonary bypass II: the effects on adrenal secretion of Cortisol. J Thorac Cardiovasc Surg 1978;75:574-578
12. Taylor KM, Wright GS, Bain WH, et al. Comparative studies of pulsatile flow during cardiopulmonary bypass III: response of anterior pituitary gland to thyrotropin-releasing hormone. J Thorac Cardiovasc Surg 1978;75:579-584
13. Williams OD, Seifen AB, Lawson NW, et al. Pulsatile versus conventional high flow perfusion for rapid core cooling and rewarming of infants for circulatory arrest in cardiac operations. J Thorac Cardiovasc Surg 1989;78:661-668
14. Minami K, Korner MM, Vyska K, et al. Effects of pulsatile flow on plasma catecholamine levels and hemodynamics following cardiac surgery. J Thorac Cardiovasc Surg 1990;99:82-91
15. Levine F, Philbin D, Kona K, et al. Plasma vasopressin levels and urinary sodium excretion during cardiopulmonary bypass with low flow. Ann Thorac Surg 1981; 32:64-67
16. Molina J, Gorney R. Neonate, infant, and pediatric perfusion: a review of recent product selection. Proceedings of the American Academy of Cardiovascular Perfusion 1991;12:108-112
17. Hill AG, Groom RC, Tewksbury L. Sources of gaseous micro emboli during cardiopulmonary bypass. Proceedings of the American Academy of Cardiovascular Perfusion 1988;9:122-130
18. Snook TL, Wise RK, Miller CA, et al. A comparison of three pumps with respect to their effects on fibrinogen, platelets, and plasma hemoglobin during cardiopulmonary bypass. Proceedings of the American Academy of Cardiovascular Perfusion 1992;13:54-57
19. Chui BS, Shapiro JH, Buckley K, et al. Use of the constrained vortex pump in children under 20 kilograms. J Extracorporeal Technology 1992;23:98-101
20. Leschinsky BM, Itkin GP, Zimin NK. Centrifugal pumps - a brief analysis: development of new changes. Perfusion 1991;6:115-123
21. Gourley T, Taylor KM. Perfusion pumps. In: Jonas RA, Elliott MJ, eds. Cardiopulmonary Bypass in Neonates, Infants, and Young Children. Oxford: Butterworth-Heinemann, Ltd., 1994:141-149
22. Reed CC, Miller D, Stafford TB, et al. Micro emboli emission of extracorporeal oxygenators. Proceedings of the American Academy of Cardiovascular Perfusion 1988;9:65-68
23. Berryessa RG, Tyndal CM Jr, Sun C. An experimental evaluation of a method for decreasing arterial micro-air in an infant membrane oxygenator. Proceedings of the American Academy of Cardiovascular Perfusion 1987;8:186-189
24. Pearson DT, Holden MP, Waterhouse PS, et al. Gaseous micro emboli during open heart surgery. Detection and prevention. Proceedings of the American Academy of Cardiovascular Perfusion 1983;4:103-109
25. Hirayama T, Yamaguchi H, Allers M, et al. Evaluation of red cell damage during cardiopulmonary bypass. Scand J Thorac Cardiovasc Surg 1985;19:263-265
26. Nilsson L, Bagge L, Nystroem SO. Blood cell trauma and postoperative bleeding: comparison of bubble and membrane oxygenators and observations of coronary suction. Scan J Thorac Cardiovasc Surg 1990;24:65-69
27. Peterson KA, Dewanjee MK, Kaye MP. Fate of indium 111-labeled platelets during cardiopulmonary bypass performed with membrane and bubble oxygenators. J Thorac Cardiovasc Surg 1982;84:39-43
28. Hill AG, Groom RC, Vinansky RP, et al. Hollow fiber oxygenation and bubble oxygenation: a contrast. Proceedings of the American Academy of Cardiovascular Perfusion 1985;6:51-58
29. Clarke RE, Beauchamp RA, Magrath RA, et al. Comparison of bubble and membrane oxygenators in short and long perfusions. J Thorac Cardiovasc Surg 1979;78:655-666
30. Muraoka R, Yokota M, Aoshima M, et al. Subclinical changes in brain morphology following cardiac operations as reflected by computed tomographic scans of the brain. J Thorac Cardiovasc Surg 1981;81:364-369
31. Dancy CM, Townsend ER, Boyett A, et al. Pulmonary dysfunction associated with cardiopulmonary bypass: a comparison of membrane and bubble oxygenation. Circulation 1981;64(Suppl II);II54-II57
32. Yeboah ED, Petrie A, Pead JL. Acute renal failure and open heart surgery. Br Med J 1972;1:415-418
33. Schonberger JP, Everts PA, Hoffman JJ. Systemic blood activation with open and closed venous reservoirs. Ann Thorac Surg 1995;59:1549-1555
34. Wright G, Sanderson JM. Cellular aggregations and trauma in the cardiotomy suction systems. Thorax 1979;34:621-628
35. Edmunds LH Jr, Saxeena NC, Hillyer P, et al. Relationship between platelet count and cardiotomy suction return. Ann Thorac Surg 1978;25:306-310
36. Brooks JD, Beauchamp RA, McGrath RA, et al. Efficacy of particulate removal by prebypass filters with different oxygenation systems. J Extracorporeal Tech 1979;11:175-182
37. Moen O, Fosse E, Brockmeier V, et al. Disparity in blood activation by two different heparin-coated cardiopulmonary bypass systems. Ann Thorac Surg 1995;60:1317-1323
38. Ovrum E, Mollnes TE, Fosse E, et al. Complement and granulocyte activation in two different types of heparinized extracorporeal circuits. J Thorac Cardiovasc Surg 1995;110:1623-1632
39. Gruenwald C. Carmeda Technology during CPB in the infant. Perfusion 1996 (in press)
40. Ratcliffe JM, Wyse RK, Hunter S, et al. The role of priming fluid in the metabolic consequences to cardiopulmonary bypass. Thorac Cardiovasc Surgeon 1988;36:65-74
41. Benzing G, Francis PD, Kaplan S, et al. Glucose and insulin changes in infants and children undergoing hypothermic open heart surgery. Am J Cardiology 1983;52:133-136
42. Anderson RV, Siegman MG, Balaban RS, et al. Hyperglycemia increases cerebral intracellular acidosis during circulatory arrest. Ann Thorac Surg 1992;54:1126-1130
43. Chang TM. Platelet surface interaction: effect of albumin coating or heparin complexing on thrombogenic surfaces. Can J Physiol Pharmacol 1974;52:275-285
44. Yeh T, Parmar JM, Rebeyka IM, et al. Limiting edema in neonatal cardiopulmonary bypass with narrow-range hydroxyethyl starch. J Thorac Cardiovasc Surg 1992;104:659-665
45. Huskisson L, Elliott M. Prime composition. In: Jonas RA, Elliott MJ, eds. Cardiopulmonary Bypass in Neonates, Infants, and Young Children. Oxford: Butterworth-Heinemann, Ltd., 1994:186-198
46. Kirklin JK. Neonatal cardiopulmonary bypass. In: Long WA, ed. Fetal and Neonatal Cardiology. Philadelphia: W. B. Saunders, 1990:737
47. Kawaguchi A, Bergsland J, Subramanian S. Total bloodless open heart surgery in the pediatric age group. Circulation 1984;70(Suppl II):II130-I1137
48. Kawamura JK, Minamikawa O, Yokochi H, et al. Safe limit of hemodilution in cardiopulmonary bypass: comparative analysis between cyanotic and acyanotic congenital disease. Pediatr Cardiol 1991;12:170-174
49. Gilbert GL, Hayes K, Hudson IL, et al. Prevention of transfusion-acquired cytomegalovirus infection in infants by blood filtration to remove leukocytes. Lancet 1989;1:1228-1231
50. Snjecinski I, O'Donnell MR, Nowicki B, et al. Prevention of HLA-alloimmunization using filtered blood products. Blood 1988;71:1402-1407
51. Ratcliffe JM, Elliott MJ, Wyse RKH, et al. The metabolic load of stored blood: implications for major transfusions in infants. Arch Dis Child 1986;61:1208-1214
52. Lonnqvist PA, Dobbs JL. Glucose, sodium, and plasma protein levels during deep hypothermic circulatory arrest using a low volume, minimal glucose priming solution based on washed packed red cells. Perfusion 1991;6:23-30
53. Ridley PD, Ratcliffe JM, Aberti KG, et al. The metabolic consequences of a "washed" cardiopulmonary bypass pump-priming fluid in children undergoing cardiac operations. J Thorac Cardiovasc Surg 1990;100:528-537
54. Romanoli A, Hacker J, Keats A, et al. External concentration after deliberate hemodilution. Annual Meeting of the American Society of Anesthesiologists 1976 Abstract
55. Naik SK, Knight A, Elliott MJ. A successful modification of ultrafiltration for cardiopulmonary bypass in children. Perfusion 1991;6:41-50
56. Skaryak LA, Kirshbom PM, DiBernardo LR, et al. Modified ultrafiltration improves cerebral metabolic recovery after circulatory arrest. J Thorac Cardiovasc Surg 1995;109:744-751
57. Groom RC, Akl BF, Albus RA, et al. Alternative method of ultrafiltration after cardiopulmonary bypass. Ann Thorac Surg 1994;58:573-574
58. Bull BS, Huse WM, Brauer FS, et al. Heparin therapy during extracorporeal circulation II. Use of a dose-response curve to individualize heparin and protamine dosage. J Thorac Cardiovasc Surg 1975;69:685-689
59. Ball C. How does heparin bring about anticoagulation in a patient? Proceedings of the American Academy of Cardiovascular Perfusion 1988;9:85-89
60. Riley JB, Southworth RS, Ecklund JM. Treating heparin resistance during extracorporeal circulation with AT-III concentrate. Perfusion 1996 (in press)
61. Horrow JC, Hlavacek J, Strong MD, et al. Prophylactic tranexamic acid decreases bleeding after cardiac operations. J Thorac Cardiovasc Surg 1990;99:70-74
62. Fritz H, Wunderer W. Biochemistry and applications of aprotinin, the kallikrein inhibitor from bovine organs. Arzneim Forsch/Drug Res 1983;33:479-494
63. Dietrich W, Mossinger H. The use of aprotinin in pediatric cardiopulmonary bypass. In: Pifarre R, ed. Blood Conservation With Aprotinin. Philadelphia: Hanley & Belfus, Inc., 1995:275-286
64. Sundt TM, Kouchoukos NT, Saffitz JE, et al. Renal dysfunction and intravascular coagulation with aprotinin and hypothermic circulatory arrest. Ann Thorac Surg 1993;55:1418-1424
65. Westaby S, Fritsch A, Schultz F, et al. Aprotinin and bleeding in profoundly hypothermic perfusion. Eur J Cardiothorac Surg 1994;8:82-86
66. Reed CR, Clark DK. Cardiopulmonary Bypass. Houston: Texas Medical Press, 1975:301
67. Kirklin JK. Neonatal cardiopulmonary bypass. In: Long WA, ed. Fetal and Neonatal Cardiology. Philadelphia: W. B. Saunders, 1990:736
68. Galetti PM, Brecher GA. Heart-Lung Bypass, Principles and Techniques of Extracorporeal Circulation. Philadelphia: Grune and Stratton, 1962:252
69. Stanley TH, Isser-amaral J. Mixed venous oxygen tension: a simple metabolic monitor of the adequacy of perfusion during cardiopulmonary bypass. AmSECT Proceedings 1962;2:41-44
70. Croughwell ND, Barlow CF, Hickey PR, et al. Warming during cardiopulmonary bypass is associated with jugular bulb desaturation. Ann Thorac Surg 1992;53:827-832
71. Kern FH, Jonas RA, Mayer JE, et al. Temperature monitoring during infant CPB: does it predict efficient brain cooling? Ann Thorac Surg 1992;54:749-754
72. Hickey PR, Anderson NP. Deep hypothermia and circulatory arrest: a review of pathophysiology and clinical experience. J Cardiothorac Anesth 1987;1:137-155
73. Kirklin JW, Barratt-Boyes BG, eds. Cardiac Surgery. New York: John Wiley & Sons, 1986:43
74. Wernovsky G, Jonas RA, Hickey PR, et al. Neurological and developmental studies after cardiac surgery utilizing hypothermic circulatory arrest and cardiopulmonary bypass. Cardiol Young 1993;3:308-316
75. Jonas RA, Wernovsky G, Ware J. The Boston circulatory arrest study: perioperative neurologic outcome after the arterial switch operation. Circulation 1992;86(Suppl 1):360A Abstract
76. Jonas RA. Myocardial protection or cerebral protection: a potential conflict. J Thorac Cardiovasc Surg 1983;86:823-831
77. Pollard HS, Feischaker RJ, Timmes JJ, et al. Blood brain barrier studies in extracorporeal cooling and warming. J Thorac Cardiovasc Surg 1961;42:772-778
78. Butler BD, Kurusz M. Gaseous micro emboli: a review. Perfusion 1990;5:81-99
79. Donald DE, Fellows JL. Relation of temperature, gas tension, and hydrostatic pressure to the formation of gas bubbles in extracorporeal oxygenated blood. Surg Forum 1959;10:589-592
80. Hill AG, Groom RC, Vinansky RP, et al. Gaseous micro emboli arid extracorporeal circulation. Proceedings of the American Academy of Cardiovascular Perfusion 1986;7:131-136
81. Kern FH, Ungerleider RM, Schulman SR, et al. Comparing two strategies of cardiopulmonary bypass cooling on the jugular venous oxygen saturation in neonates and infants. Ann Thorac Surg 1995;60:1198-1202
82. Swain JA, Robbins RC, Balaban RS, et al. The effect of cardiopulmonary bypass on brain and heart metabolism. Mag Res Med 1990;15:446-455
83. Robbins RC, Balaban RS, Swain JA, et al. Intermittent hypothermic asanguineous cerebral plegia protects the brain. J Thorac Cardiovasc Surg 1990;99:878-884
84. Crittendon MD, Roberts CS, Rosa L, et al. Neurologic outcome after prolonged circulatory arrest. Ann Thorac Surg 1991;51:942-947
85. Swain JA, McDonald TJ, Griffith PK, et al. Low flow hypothermic bypass protects the brain. J Thorac Cardiovasc Surg 1991;102:76-84
86. Hindman BJ. Cerebral physiology of hypothermia and hypothermic acid-base management during cardiopulmonary bypass. Cardiol Young 1993;3:272-280
87. Skaryak LA, Chai PJ, Kern KH, et al. Blood gas management and degree of cooling: effects on cerebral metabolism before and after circulatory arrest. J Thorac Cardiovasc Surg 1995;110:1649-1657
88. Cohn N. Anesthesia for neonatal cardiac surgery. In: Long WA, ed. Fetal and Neonatal Cardiology. Philadelphia: W. B. Saunders, 1990:725
89. Larson DF, Bowers M, Scheckner WH. Neutrophil activation during cardiopulmonary bypass: a comparison of pediatric to adult patients. Proceedings of the American Academy of Cardiovascular Perfusion 1995;16:8182
90. Gates RN, Cushen CK, Laks H. Cardiopulmonary bypass in infants and children. In: Gravlee GP, Davis RF, Utley JR, eds. Cardiopulmonary Bypass: Principles and Practice. Baltimore: Williams & Wilkins, 1993:603-635