|
Sign In to gain access to subscriptions and/or personal tools.
|
Paediatric perfusion practice in North America: an update
Robert C Groom
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Aaron G Hill
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Mark Kurusz
The University of Texas Medical Branch, Galveston, Texa
Ruben Munoz
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Kelley J McGowen
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Justin J Resley
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Bechara F Akl
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Alan Speir
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
Edward A Lefrak
The Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia
In August 1994, an updated survey questionnaire was mailed to each paediatric open-heart surgery programme in North America as a follow-up to the 1989 paediatric survey. The survey requested demographic data, equipment selection criteria and specific perfusion techniques for paediatric patients. The earlier survey revealed a wide range of clinical practice. Data from the recent survey were compared with the 1989 survey to identify current programme demographics and trends in equipment use and techniques.
Responses were received from 125 hospitals (110 active programmes and 15 programmes that do not perform paediatric open-heart surgery) for a response rate of 74%. Of the 110 active centres, 77 perform both adult and paediatric cardiac surgery, and 33 perform paediatric surgery exclusively. Forty-three centres reported that they perform paediatric cardiac transplantation, an increase from 35 centres in 1989. Total caseload increased by more than 8% per year from 1988 to 1994. In 1994, 18% of the patients were operated upon during the first month of life (versus 15% in 1989), and 46% were operated on during the first year of life (versus 45% in 1989)
While the 1989 survey was characterized by a high degree of heterogeneity in equipment and techniques, the recent survey reveals a trend toward homogeneity among respondents. The use of membrane oxygenation and arterial line filtration has become universal, and there was an increase in the use of all types of safety devices in the cardiopulmonary bypass circuit.
Perfusion, Vol. 10, No. 6,
393-401 (1995)
DOI: 10.1177/026765919501000603
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
D. A Palanzo
Perfusion safety: defining the problem
Perfusion,
July 1, 2005;
20(4):
195 - 203.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. Cecere, R. Groom, R. Forest, R. Quinn, and J. Morton
A 10-year review of pediatric perfusion practice in North America
Perfusion,
March 1, 2002;
17(2):
83 - 89.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Undar, H. C. Eichstaedt, T. Masai, S.-Q. Yang, J. E. Bigley, M. C. McGarry, M. Mueller, W. K. Vaughn, and C. D. Fraser Jr
Comparison of six pediatric cardiopulmonary bypass pumps during pulsatile and nonpulsatile perfusion
J. Thorac. Cardiovasc. Surg.,
October 1, 2001;
122(4):
827 - 829.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. H Stammers and B. L Mejak
An update on perfusion safety: does the type of perfusion practice affect the rate of incidents related to cardiopulmonary bypass?
Perfusion,
May 1, 2001;
16(3):
189 - 198.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Undar, K. M Koenig, O H Frazier, and C. D Fraser Jr
Impact of membrane oxygenators on pulsatile versus nonpulsatile perfusion in a neonatal model
Perfusion,
March 1, 2000;
15(2):
111 - 120.
[Abstract]
[PDF]
|
|
|
|
|
|
|
E. Darling, S. Harris-Holloway, F. H Kern, R. Ungerleider, J. Jaggers, S. Lawson, and I. Shearer
Impact of modifying priming components and fluid administration using miniaturized circuitry in neonatal cardiopulmonary bypass
Perfusion,
January 1, 2000;
15(1):
3 - 12.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. L Mejak, A. Stammers, E. Rauch, S. Vang, and T. Viessman
A retrospective study on perfusion incidents and safety devices
Perfusion,
January 1, 2000;
15(1):
51 - 61.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Undar, T. Masai, S.-Q. Yang, J. Goddard-Finegold, O.H. Frazier, and C. D. Fraser Jr
Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model
Ann. Thorac. Surg.,
October 1, 1999;
68(4):
1336 - 1342.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J Horisberger, D Jegger, Y Boone, I Seigneul, N Pierrel, M Hurni, A F Corno, and L K von Segesser
Impact of a remote pump head on neonatal priming volumes
Perfusion,
September 1, 1999;
14(5):
351 - 356.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. L Lau, K. E Posther, G R. Stephenson, A. Lodge, J. H Lawson, E. M Darling, R D. Davis Jr, R. M Ungerleider, and J. Jaggers
Mini-circuit cardiopulmonary bypass with vacuum assisted venous drainage: feasibility of an asanguineous prime in the neonate
Perfusion,
September 1, 1999;
14(5):
389 - 396.
[Abstract]
[PDF]
|
|
|
|
|
|
|
E. Darling, K. Nanry, I. Shearer, D. Kaemmer, and S. Lawson
Techniques of paediatric modified ultrafiltration: 1996 survey results
Perfusion,
March 1, 1998;
13(2):
93 - 103.
[Abstract]
[PDF]
|
|
|
|
|
|
|
O. F Jenkins, R. Morris, and J. M Simpson
Australasian perfusion incident survey
Perfusion,
September 1, 1997;
12(5):
279 - 288.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Kurusz
Lessons from perfusion surveys
Perfusion,
July 1, 1997;
12(4):
221 - 227.
[PDF]
|
|
|
|
|
|
|
F. De Somer, L. Foubert, J. Poelaert, D. Dujardin, G. Van Nooten, and K. Francois
Low extracorporeal priming volumes for infants: a benefit?
Perfusion,
November 1, 1996;
11(6):
455 - 460.
[Abstract]
[PDF]
|
|
|
|
|
