全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

The Effect of the Hemofiltration-Body Surface Area on the Mortality and Morbidity during Cardiopulmonary Bypass

DOI: 10.4236/wjcs.2018.88013, PP. 140-149

Keywords: Hemofiltration, Body Surface Area, Cardiopulmonary Bypass

Full-Text   Cite this paper   Add to My Lib

Abstract:

The aim of this study is to investigate the effect of the hemofiltration-body surface area on mortality and morbidity during cardiopulmonary bypass (CBP). A total of 226 patients were divided into two groups as hemofiltration (HF) performed or not performed. The patients to whom hemofiltration was performed were also divided into three subgroups after the distribution analysis which was done according to body surface area. All patients were compared according to the relationship of hemofiltration-body surface area during cardiopulmonary bypass in the interms of mortality and morbidity. There was no statistically significant relationship between the subgroups according to the amount of hemofiltration by square meters (p = 0.818). There was statistically significant difference in total perfusion times and total hospital stay (p = 0.025; p = 0.038) between the subgroups which were divided by the amount of hemofiltration in square meters. As a result, no effect was observed on the mortality of the relationship between the amount of hemofiltration applied during CBP and body surface area.

References

[1]  Gielen, C.L., Brand, A., van Heerde, W.L., Stijnen, T., Klautz, R.J. and Eikenboom, J. (2016) Hemostatic Alterations during Coronary Artery Bypass Grafting. Thrombosis Research, 140, 140-146.
[2]  Boodhwani, M., Hamilton, A., Varennes, B., Mesana, T., et al. (2010) A Multicenter Randomized Controlled Trial to Assess the Feasibility of Testing Modified Ultrafiltration as a Blood Conservation Technology in Cardiac Surgery. The Journal of Thoracic and Cardiovascular Surgery, 139, 701-706.
[3]  Yokoyama, K., Takabayashi, S., Komada, T., Onoda, K., Mitani, Y. and Iwata (2009) Removal of Prostaglandin E2 and Increased Intraoperative Blood Pressure during Modified Ultrafiltration in Pediatric Cardiac Surgery. The Journal of Thoracic and Cardiovascular Surgery, 137, 730-735.
[4]  Nicolas Blanchard, M.D., Yann Toque, M.D. and Faouzi Trojette, M.D. (2000) Hemodynamic and Echocardiographic Effects of Hemofiltration Performed during Cardiopulmonary Bypass. Journal of Cardiothoracic and Vascular Anesthesia, 14, 393-398.
https://doi.org/10.1053/jcan.2000.7925
[5]  Bando, K., Turrentine, M.W., Vijay, P., et al. (1998) Effect of Modified Ultrafiltration in High-Risk Patients Undergoing Operations for Congenital Heart Disease. The Annals of Thoracic Surgery, 66, 821-827.
[6]  Kopman, E.A. and Ferguson, T.B. (1978) Pulmonary Edema Following Cardiopulmonary Bypass. Anesthesia & Analgesia, 57, 367-370.
https://doi.org/10.1213/00000539-197805000-00017
[7]  Patel, B., Jeroudi, M.O. and Bolli, R. (1990) Pathogenesis of İschemic Myocardial İnjury and Methods of Myocardial Protection. In: Garson Jr., A., Bricker, J.T. and McNamara, D.G., Eds., The Science and Practice of Pediatric Cardiology, Lea & Febiger, Philadelphia, PA, 266-279.
[8]  Coşkun, I., Çölkesen, Y., Demirtürk, O.S., et al. (2003) The Effects of Perioperative Ultrafiltration on Postoperative Outcomes in Dialysis-Dependent Patients Undergoing Open Heart Surgery. Turkish Journal of Thoracic and Cardiovascular Surgery, 21, 603-609.
[9]  Kiziltepe, U., Uysalel, A., Corapcioglu, T., Dalva, K., Akan, H. and Akalin, H. (2001) Effects of Combined Conventional and Modified Ultrafiltration in Adult Patients. Annal of Thoracic Surgery, 684-693, 71.
https://doi.org/10.1016/S0003-4975(00)02518-2
[10]  Fujita, M., Ishihara, M., Kusama, Y., Shimizu, M., Kimura, T., Iizuka, Y., et al. (2004) Effect of Modified Ultrafiltration on İnflammatory Mediators, Coagulation Factors and Other Proteins in Blood after an Extracorporeal Circuit. Artificial Organs, 28, 310-313.
https://doi.org/10.1111/j.1525-1594.2004.47230.x
[11]  Sever, K., Tansel, T., Başaran, M., Kafali, E., Ugurlucan, M. and Ali Sayın, O. (2004) The Benefits of Continuous Ultrafiltration in Pediatric Cardiac Surgery. Scandinavian Cardiovascular Journal, 38, 307-311.
https://doi.org/10.1080/14017430410021480
[12]  Lancey, R.A., Gaca, C. and Vander, S.T.J. (2001) The Use of Smaller, More Flexible Chest Drains Following Open Heart Surgery. Chest, 119, 19-24.
https://doi.org/10.1378/chest.119.1.19
[13]  McGiffin, D.C. and Kirklin, K. (1995) Cardiopulmonary Bypass for Cardiac Surgery. In: Sabiston Jr., D.C. and Spencer, F.C., Eds., Surgery the Chest, 61st Edition, WB Saundersm yol İİ, Philadelphia, 1256-1271.
[14]  Raman, J.S., Hata, M., Bellomo, R., Kohchi, K., Cheung, H.L. and Buxton, B.F. (2003) Hemofiltration during Cardiopulmonary Bypass for High Risk Adult Cardiac Surgery. The International Journal of Artificial Organs, 26, 753-757.
https://doi.org/10.1177/039139880302600808
[15]  Gunaydın, S. and Gourlay, T. (2013) Novel Ultrafiltration Technique for Blood Conservation in Cardiac Operations. Annal of Thoracic Surgery, 95, 2148-2151.
https://doi.org/10.1016/j.athoracsur.2013.03.048
[16]  Jai, H.L., Brenda, S., Jennifer, A., et al. (1999) Fast Track Recovery of Elderly Coronary Bypass Surgery Patients. Annal of Thoracic Surgery, 68, 437-441.
https://doi.org/10.1016/S0003-4975(99)00510-X
[17]  Cheng, D.H.C. (1998) Fast Track Cardiac Surgery Pathways. Anesthesiology, 88, 1429-1433.
https://doi.org/10.1097/00000542-199806000-00002
[18]  Silbert, B.S., Santamaria, J.D., et al. (1998) Early Extubation Following Coronary Artery Bypass Surgery: A Prospective Randomized Controlled Trial. Chest, 113, 1481-1488.
https://doi.org/10.1378/chest.113.6.1481
[19]  Hawkes, C.A., Dhileepan, S. and Foxcroft, D. (2003) Early Extubation for Adult Cardiac Surgical Patients. Cochrane Database of Systematic Reviews, No. 4.
[20]  Journois, D., Israel-Biet, D., Pouard, P., et al. (1996) High-Volume, Zero-Balanced Hemofiltration to Reduce Delayed İnflammatory Response to Cardiopulmonary Bypass in Children. Anesthesiology, 85, 965-976.
https://doi.org/10.1097/00000542-199611000-00003
[21]  Türköz, A., et al. (2014) The Effect of Modified Ultrafiltration Duration on Pulmonary Functions and Hemodynamics in Newborns and İnfants Following Arterial Switch Operation. Pediatric Critical Care Medicine, 15, 600-607
[22]  Matata, B., Mediratta, N., Morgan, M., Shirley, S. and Scawn, N. (2013) The Impact of Continuous Haemofiltration with High-Volume Fluid Exchange during Cardiopulmonary Bypass Surgery on the Recovery of Patients with Impaired Renal Function: A Pilot Randomised Trial. Health Technology Assessment, No. 17, 49.
[23]  Zhang, T., Gao, C.-Q., Li, J.-C., Wang, J.-L., Li, L.-B. and Xiao, C.-S. (2009) Effect of Subzero-Balanced Ultrafiltration on Postoperative Outcome of Patients after Cardiopulmonary Bypass. Perfusion, 24, 401-408.
https://doi.org/10.1177/0267659109357977

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133