Effect of Modified Ultrafiltration on Postoperative Course in Neonates With Complete Transposition of the Great Arteries Undergoing Arterial Switch Operation
| Autor: | Shinya Ugaki, Osami Honjo, Kozo Ishino, Shingo Kasahara, Yasuhiro Fujii, Satoru Osaki, Shunji Sano, Takuya Kawabata, Yasuhiro Kotani, Ko Yoshizumi |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Leak Critical Care Transposition of Great Vessels medicine.medical_treatment Hemodynamics Blood Pressure Hematocrit Pulmonary function testing Capillary leak medicine Humans Intubation Cardiac Surgical Procedures Retrospective Studies medicine.diagnostic_test business.industry Infant Newborn General Medicine Respiratory Function Tests Blood pressure Great arteries Anesthesia Female Hemofiltration Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation Journal. 72:1476-1480 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.cj-08-0065 |
| Popis: | Background The purpose of the present study was to evaluate the effect of modified ultrafiltration (MUF) on neonates with transposition of the great arteries (TGA) undergoing arterial switch operation. Methods and Results The current study included 36 neonates who underwent an arterial switch operation between 1998 and 2006. Arterio-venous MUF was done in 15 patients (MUF-treated group) and the other 21 patients were controls. Parameters included hematocrit, hemodynamics, pulmonary function, drain loss, leak of peritoneal fluid, length of intubation, and intensive care unit (ICU) stay. The hematocrit increased from 34±2% to 47±4% in the MUF-treated group. Blood pressure in the MUF-treated group was significantly increased without any change of central venous or left atrial pressure. Post-operative oxygenation in the MUF-treated group was greater than that of the control group (P/F ratio: 258±92 vs 170±100 mmHg, p |
| Databáze: | OpenAIRE |
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