Gas transfer performance of a hollow fiber silicone membrane oxygenator: Ex vivo study

Based on the results of in vitro studies of many experimental models, a sil icone hollow fiber membrane oxygenator for pediatric cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO) was developed using a n ultrathin silicone hollow fiber with a 300 mum outer diameter and a wall thickness of 50 mum. In this study, we evaluated the gas transfer performan ce of this oxygenator simulating pediatric CPB and ECMO conditions. Two ex vivo studies in a pediatric CPB condition for 6 h and 5 ex vivo studies in an ECMO condition for 1 week were performed with venoarterial bypass using healthy calves. At a blood flow rate of 2 L/min and V/Q = 4 (V = gas flow r ate, Q = blood flow rate) (pediatric CPB condition), the O-2 and CO2 gas tr ansfer rates were maintained at 97.44 +/- 8.88 (mean +/- SD) and 43.59 +/- 15.75 ml/min/m(2), respectively. At a blood flow rate of 1 L/min and V/Q = 4 (ECMO condition), the O-2 and CO2 gas transfer rates were maintained at 5 6.15 +/- 8.49 and 42.47 +/- 9.22 ml/min/m(2), respectively. These data sugg est that this preclinical silicone membrane hollow fiber oxygenator may be acceptable for both pediatric CPB and long-term ECMO use.