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Perfusion
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research-article

Evaluation of air handling in a new generation neonatal oxygenator with integral arterial filter

D Gomez

Department of Cardiovascular Perfusion, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USADaniel.Gomez{at}NationwideChildrens.org

TJ Preston

Department of Cardiovascular Perfusion, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USA

VF Olshove

Department of Cardiovascular Perfusion, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USA

AB Phillips

Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USA; Department of Surgery, The Ohio State University, Columbus, Ohio, USA

ME Galantowicz

Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children’s Hospital, Columbus, Ohio, USA; Department of Surgery, The Ohio State University, Columbus, Ohio, USA

Prime volume of the cardiopulmonary bypass circuit may lead to significant hemodilution and the potential need for blood products for all patients, but may be more critical in the pediatric and, specifically, the neonatal patient. We report on the first use of the Terumo® CAPIOX® FX05 (Baby-FXTM) oxygenator with integral arterial filter, prime volume 43 ml, evaluating performance and air-handling of six Baby-FXTM versus thirteen Baby-RXTM oxygenators. The Terumo Baby-FXTM primes and performs as easily as the Baby-RXTM series. A significant prime component in the neonatal CPB circuit can be the arterial line filter (ALF). Removal of the ALF may lead to significant reduction in prime volume, decreased exposure to foreign surfaces with subsequent reduction in inflammation, and potential elimination or reduction in blood product exposures.

Key Words: gaseous microemboli • arterial line filter • oxygenator • EDAC • cardiopulmonary bypass

Perfusion, Vol. 24, No. 2, 107-112 (2009)
DOI: 10.1177/0267659109106825
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