Impact on the Inflammatory Reaction…
Comparison of the Troponin I Levels in Cardiac Surgery Comparison of the Troponin I Levels in Cardiac Surgery
Compact Extracorporeal Circulation Compact Extracorporeal Circulation
Borrelli U, Nottin R et al Borrelli U, Nottin R et al
Cannulas, Pumps, Oxygenators
AFCAO Armentières MAI2017
AFCAO Supporte Gabrielle
Invitation Conference de presse Oct2017
Conference Un Coeur pour tous Conference Un Coeur pour tous
Conference Un Coeur pour Tous
AFCAO Dossier de Presse 2017
Compte rendu de la mission d’AFCAO – Mai2017

Impact on the Inflammatory Reaction…

Impact on the inflammatory reaction by optimization of the extracorporeal circulation in cardiac surgery

Borrelli U, Detroux M, Nackers P et al (2003) Impact on the inflammatory reaction by optimization of the extracorporeal circulation in cardiac surgery. Biomed J 24(Suppl 1):80s. ITBM RBM 24 (2003): 80s-81s
Innovation and Technology in Biology and Medicine; Editions Scientific and Medical Elsevier

 

Comparison of the Troponin I Levels in Cardiac Surgery

C0MPARISON OF THE TROPONIN I LEVELS DURING CORONARY ARTERY BYPASS GRAFT IN CARDIAC SURGERY PROCEDURES, REALISED WITH AND WITHOUT EXTRACORPOREAL CIRCULATION
U. BORRELLI5, J. FIJALKOWSKI5, M. DETROUX1, P. NACKERS2, B. COLINET2, S. NIKIS2, M. JAKUBIAK2, C. MIESSE2, G. SAÏDANE2, B. GILLIEAUX2, S. JENNES2, E. WIJTENBURG1, A. BODSON3,  M. BOEUR3, P. STRUYVEN3, V. RIZZI3, H. YAZIDI3, A. DE CONINCK4
1Department of Cardiovascular Surgery
2Department of Anesthesia & Reanimation
3Department of Clinical Microbiologic Laboratory
4Statistics
5Department of Perfusion
Department of Cardiovascular Surgery, St-Joseph Hospital, Gilly – Belgium

Compact Extracorporeal Circulation

Compact extracorporeal circulation: reducing the surface of cardiopulmonary bypass to improve outcomes
We have introduced a number of modifications to minimize the deleterious effects of cardiopulmonary bypass (CPB) by reducing the surface of the extracorporeal circulation (ECC), the length of the ECC circuit, the contact surface of the oxygenator, and the volume of priming solution, in addition to employing biocompatible systems and isolation of excess blood volumes of venous reservoirs in transfusion bags very early in CPB. Encouraged by the results of our initial « Compact ECC, » we have decided to improve it by implementing other techniques such as controlled hemodilution of the patient by reducing the diameter of ECC venous tubing (from 1/2 in. to 3/8 in.), limiting contact surface of the oxygenator and venous reservoir, positioning the oxygenator and venous reservoir at the level of the patient’s shoulder, and employing venous cannulae adapted to vacuum assisted venous drainage (VAVD) to replace venous drainage by gravity. The purpose of this study is to evaluate postoperative outcomes of Compact ECC. Three groups of patients undergoing coronary artery bypass graft (CABG) are compared. Our new Compact ECC shows improved outcomes through reduced postoperative ventilation time, blood loss, intensive care stay, need for blood transfusion, and levels of lactate dehydrogenase despite the patients’ pathologies and surgeries being more complex.

Cannulas, Pumps, Oxygenators

https://link.springer.com/chapter/10.1007/978-88-470-5427-1_6/fulltext.html
ECMO-Extracorporeal Life Support in Adults

Authors

AFCAO Armentières MAI2017

AFCAO Supporte Gabrielle

Invitation Conference de presse Oct2017

Conference Un Coeur pour tous

Conference Un Coeur pour Tous

AFCAO Dossier de Presse 2017

AFCAO DOSSIER DE PRESSE 2017-FR

 

Compte rendu de la mission d’AFCAO – Mai2017

Compte Rendu de la mission d’AFCAO a Abidjan – Mai 2017

 

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