Modern management of extracorporeal circulation, especially during long-term support of post-cardiac surgical patients, remains challenging and requires optimal care of the patient's fluid balance and coagulation hemostasis for its successful outcome. The activated clotting time assay is one of the tests used to manage extracorporeal circulation and is available in a low- and high-range level. ...

BACKGROUND It remains unclear which cannulation method is best in cases of extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest. We assessed the effect of ultrasound- and fluoroscopy-guided percutaneous cannulation on complication incidence, compared with that using only ultrasound guidance. METHODS This single-center retrospective observational study was con...

BACKGROUND The elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extra...

Results Surfactant properties did not change in the control group. In the CPB group, PL content increased in TA 24 hours after CPB. LA concentration dropped 4 hours after CPB (P < 0.01) but recovered within 24 hours. The PL : protein ratio of LA was decreased at 24 hours as compared with baseline (P < 0.01). The relative amount of phosphatidylglycerol in LA-PL content dropped linearly over time...

Deep hypothermic circulatory arrest (DHCA) is a technique of extracorporeal circulation commonly used in children with complex congenital heart defects undergoing surgical repairs. The use of profound cooling (20 degrees C) and complete cessation of circulation allow adequate exposure and correction of these complex lesions, with enhanced cerebral protection. However, the profound physiologic s...

SUMMARY Whole body hyperthermotherapy was applied to 15 cases of 12 patients as treatment for malignant tumor, by means of extracorporeal circulation with 12 cases, including 7 cases of the V-A bypass and 5 cases of the A-V bypass, as well as surface warrriing with 3 cases. The therapeutic temperature of 41 °C or above was maintained on all of them for 2 hours and 57 minutes on an average. The ...