The influence of neonatal bloodless cardiopulmonary bypass on clinical outcomes of neonatal cardiac surgery
Shen Jia
Tang Jia-zhong
Zhang Wei
Jiang Lei
Guo Zheng
Zhu De-ming
Wang Wei
Yang Yin-yu
Abstract：Objective This retrospective study is to evaluate the effects of bloodless cardiopulmonary bypass (CPB) on the clinical outcomes of neonatal cardiac surgery. Methods New techniques such as the infant CPB circuit, optimization of modified ultra?filtration ( MUF) , autologous blood revoveryand bank blood washing course by cell saver, were used in our centerfrom January 2014. Neonates undergoing Arterial Switch Operation ( ASO) from 2013 to 2015 were classified into two groups:Group A included 38 infants who underwent operations in 2013, while Group B included 53 infants who underwent operations in 2014 and 2015. In this study, the bank-stored blood volume used in operation, CPB techniques as well as the clinical outcomes were compared between groups. Results Compared to Group A, patients in Group B required less blood transfusion during CPB whilst more cases used mild hypothermia by?pass, and had lower lactate level and higher hemoglobin value when returned to ICU, but there was no difference in the length of ICU and hospital stay. Conclusion Neonates undergoing ASO had better clinical outcomes with miniaturization of CPB circuit, modifica?tion of MUF method and the technology of autologous blood recovery.
Keywords：InfantArterial switch operationCardiopulmonary bypassUltrafiltrationCell saverAutologous blood recovery
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 209-212 )