Emergent cardiopulmonary bypass for a 180 kilogram patient: support with a single oxygenator.

نویسندگان

  • Kyler T Hunter
  • Angela R Lopez
  • Kwok L Yun
چکیده

As obesity increases in prevalence, so will cases in which patients present at the boundaries of care. We report the support of a class III obese man, having a body mass index of 60.8 kg/m2 and in acute renal failure, with a single Trillium-coated Affinity NT Hollow Fiber oxygenator in cardiopulmonary bypass for an emergent aortic valve replacement secondary to infective endocarditis. A maximum oxygen delivery of 807.51 mL of oxygen per minute is reported for this oxygenator in this case report.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Fluid Uptake by Patients During Cardiopulmonary Bypass: An Oxygenator Dependent Phenomenon

A significant difference in the amount of crystalloid solution necessary to maintain the patient with adequate perfusion was first noted between two bubble oxygenators being used clinically for the past two years at the Barnes Hospital, St. Louis, Missouri. This clinical study was established to determine the degree of difference of positive fluid balance to the patient as a result of cardiopul...

متن کامل

A fax-back oxygenator-perfusionist clinical performance data collection and statistical analysis method.

A method to collect clinical oxygenator performance data daily is described. At the end of a bypass procedure, the perfusionist fills in a fax-back form designed to automatically input patient-oxygenator performance data into a computer spreadsheet. Multiple blood gases, FiO2, gas and blood flow data, venous oxygenator blood inlet conditions (hemoglobin, O2 saturation, hematocrit and temperatur...

متن کامل

Successful management of membrane oxygenator failure during cardiopulmonary bypass--the importance of safety algorithm and simulation drills.

With a high risk to time ratio, the advent of cardiopulmonary bypass has facilitated greater advances in technical procedures in cardiac surgery. This, however, has not come without its own complication risk and previous near misses have been reported with regard to various technical aspects of the cardiopulmonary bypass circuit. We present a case of a failed membrane oxygenator and discuss the...

متن کامل

Prevention of acquired transient defect in platelet plug formation by infused prostacyclin.

Cardiopulmonary bypass in baboons produced transient severe platelet dysfunction (bleeding times prolonged to 27.8 +/- 1.4 min compared with 3.9 +/- 0.7 baseline) that was associated with a parallel release of platelet alpha-granule proteins into plasma (platelet factor 4 and beta-thromboglobulin levels of 28.8 +/- 9.3 and 20.0 +/- 1.8 ng/ml, respectively) and their clearance into urine with a ...

متن کامل

Short-term Mechanical Circulatory Support with a Centrifugal Pump - Results of Peripheral Extracorporeal Membrane Oxygenator According to Clinical Situation

BACKGROUND A peripheral extracorporeal membrane oxygenator (p-ECMO) has been developed to support patients who are dying due to a serious cardiopulmonary condition. This analysis was planned to define the clinical situation in which the patient benefits most from a p-ECMO. MATERIAL AND METHODS Between June 2007 and Aug 2009, a total of 41 adult patients used the p-ECMO. There were 23 males an...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • The journal of extra-corporeal technology

دوره 45 3  شماره 

صفحات  -

تاریخ انتشار 2013