The dynamic observation of plasma concentration of antimicrobial agents during balanced ultrafiltration in vitro.

Routine perioperative intravenous antimicrobial agents are administered as surgical prophylaxis. However, whether balanced ultrafiltration during extracorporeal circulation has substantial effect on the concentration of antimicrobial agents remains unclear. The concentrations of antimicrobial agents in plasma and ultrafiltrate samples were measured in this pseudo-extracorporeal circulation model.

Balanced ultrafiltration: inflammatory mediator removal capacity.

Ultrafiltration with a hemoconcentrator may remove excess fluid load and alleviate tissue edema and has been universally adopted in extracorporeal circulation protocols during pediatric cardiac surgery. Balanced ultrafiltration is advocated to remove inflammatory mediators generated during surgery. However, whether balanced ultrafiltration can remove all or a portion of the inflammatory mediator load remains unclear.

The monitoring and preventing of spinal cord ischemic injury during thoracic descending aortic operating.

Background: A model of ischemic injury to the spinal cord was established in pigs by clamping the thoracic descending aorta. The feasibility of monitoring spinal-cord ischemia using the cortical somatosensory evoked potential (CSEP) was evaluated. Outcomes between the simple clamp (SC) group and left-heart bypass (LHB) group were compared.

Air-handling capabilities of blood cardioplegia delivery systems in a simulated pediatric model.

Blood cardioplegia delivery systems are employed in most pediatric open heart cases to arrest the heart and keep it preserved during aortic cross-clamping. They are also used as part of a modified ultrafiltration system at the end of cardiopulmonary bypass. We evaluated and compared the air-handling capabilities of different types of blood cardioplegia delivery devices.

Retrograde autologous priming of the cardiopulmonary bypass circuit reduces blood transfusion in small adults: a prospective, randomized trial.

Background And Objective: Extreme haemodilution occurring with cardiopulmonary bypass imposes a primary risk factor for blood transfusion in small adult cardiac surgical patients. Priming of the cardiopulmonary bypass circuit with patients' own blood [retrograde autologous priming (RAP)] is a technique used to limit haemodilution and reduce transfusion requirements. We designed this study to evaluate the effects of RAP on reducing perioperative blood transfusion in small adults.

Cardiopulmonary bypass for thoracic aortic aneurysm: a report on 488 cases.

Our objective was to investigate different cardiopulmonary bypass (CPB) techniques for thoracic aortic aneurysm retrospectively. Four hundred and eighty-eight patients with thoracic aortic aneurysm received surgical treatment. Total CPB was used routinely in 331 cases with ascending aortic aneurysm.

[Clinical application of retrograde cerebral perfusion for brain protection during the surgery of ascending aortic aneurysm: 50 cases report].

Objective: To assess retrospectively the effects of different protective methods on brain in ascending aortic aneurysm surgery.

Methods: In 65 patients, aneurysm was dissected to the aortic arch or right arch. To protect brain, deep hypothermic circulatory arrest (DHCA) combined with retrograde cerebral perfusion (RCP) through the superior vena cava (n = 50) and simple DHCA (n = 15) were used during the procedure.

The assessment of brain injury with measurement of calcium fluorescent intensity of a vital brain slice.

Retrograde cerebral perfusion (RCP) is one of cerebral protection methods during deep hypothermic circulatory arrest (DHCA). However, the mechanism is unclear. In this study with laser confocal scanning microscope (LCSM), calcium fluorescent intensity of vital brain slice was compared between RCP and DHCA group.

Clinical application of retrograde cerebral perfusion for brain protection during surgery of ascending aortic aneurysm--a report of 50 cases.

This study was designed to discuss the effects on the brain by different protective methods in ascending aortic aneurysm surgery retrospectively. Two hundred seventy-one surgeries of ascending aortic aneurysm have been done in the past 15 years. There were 65 patients with a dissecting aneurysm of the aortic arch or right arch.

[Measurement of calcium fluorescent intensity in vital brain slice and mechanism of brain injury after circulatory arrest].

Objective: To examine the calcium fluorescent intensity of vital brain slice and study the mechanism of brain injury after circulatory arrest.

Methods: Eight pigs underwent 90 minutes' deep hypothermic circulation arrest (DHCA) and eight pigs underwent retrograde cerebral perfusion (RCP) through superior vena cava and then rewarmed for 120 minutes. Vital brain slices were obtained and the calcium fluorescent intensity was examined with laser confocal scanning microscope (LCSM).