Impact of Modified Ultrafiltration on Morbidity after Pediatric Cardiac Surgery
| Autor: | Mark H.D. Danton, Shaik Yousufuddin, Shahzad G. Raja, James C.S. Pollock, Faisal Rasool, Ayo Nubi |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Heart Defects
Congenital Pulmonary and Respiratory Medicine medicine.medical_specialty Heart disease Ultrafiltration 030204 cardiovascular system & hematology law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine law Modified ultrafiltration medicine Cardiopulmonary bypass Humans Cardiac Surgical Procedures Child Intensive care medicine Postoperative Care Cardiopulmonary Bypass business.industry General Medicine medicine.disease Cardiac surgery 030228 respiratory system Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 14:341-350 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230601400417 |
| Popis: | Cardiopulmonary bypass is a double-edged sword. Without it, corrective cardiac surgery would not be possible in the majority of children with congenital heart disease. However, much of the perioperative morbidity that occurs after cardiac surgery can be attributed to a large extent to pathophysiologic processes engendered by extracorporeal circulation. One of the challenges that has confronted pediatric cardiac surgeons has been to minimize the consequences of cardiopulmonary bypass. Ultrafiltration is a strategy that has been used for many years in an effort to attenuate the effects of hemodilution that occur when small children undergo surgery with cardiopulmonary bypass. Over the past several years, a modified technique of ultrafiltration, commonly known as modified ultrafiltration, has been used with increasing enthusiasm. Multiple studies have been undertaken to assess the effects of modified ultrafiltration on organ function and postoperative morbidity following repair of congenital heart defects. This review attempts to evaluate current available scientific evidence on the impact of modified ultrafiltration on organ function and morbidity after pediatric cardiac surgery. |
| Databáze: | OpenAIRE |
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