Simple modified ultrafiltration

Citation
Gj. Myers et al., Simple modified ultrafiltration, PERFUSION-U, 15(5), 2000, pp. 447-452
Citations number
12
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
PERFUSION-UK
ISSN journal
02676591 → ACNP
Volume
15
Issue
5
Year of publication
2000
Pages
447 - 452
Database
ISI
SICI code
0267-6591(200009)15:5<447:SMU>2.0.ZU;2-I
Abstract
After reviewing all available methods of modified ultrafiltration (MUF), an attempt was made to develop a more simplified approach to this beneficial method of post-bypass fluid removal by withdrawing blood from the right atr ium and reinfusing into the aortic cannula (venoarterial). The simplicity o f operation, ease of setup and analysis of hemoglobin, hematocrit, total pr oteins and colloid osmotic pressure, and fluid removed were examined in 12 consecutive neonatal and pediatric patients undergoing cardiac surgery. Res ults indicate that this simplified modified ultrafiltration (SMUF) is compa rable to all other methods of MUF by achieving dramatic improvements in all parameters measured. In addition, SMUF provides the perfusionist with the ability to run conventional ultrafiltration throughout the bypass procedure , using this one circuit design. As well as finding the learning curve for SMUF to be very short, this metho d was found to be superior in its simplicity of operation, ease of setup, r educed risk of complications and acceptance by the surgeon and anesthetist.