Effect of modified ultrafiltration on plasma thromboxane B2, leukotriene B4, and endothelin-1 in infants undergoing cardiopulmonary bypass  Jeffrey M.

Slides:



Advertisements
Similar presentations
Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Advertisements

Bosentan prevents hypoxia-reoxygenation–induced pulmonary hypertension and improves pulmonary function  Jeffrey M Pearl, MD, Scott A Wellmann, MD, Jerri.
Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,
Differential Effect of Heparin Coating and Complement Inhibition on Artificial Surface- Induced Eicosanoid Production  Knut Tore Lappegård, MD, Johan Riesenfeld,
Reduction of the Inflammatory Response in Patients Undergoing Minimally Invasive Coronary Artery Bypass Grafting  Y.John Gu, Massimo A Mariani, Willem.
Cerebral Oxygen Saturation Does Not Normalize Until After Stage 2 Single Ventricle Palliation  Kathleen N. Fenton, MD, Katherine Lessman, BS, Kimberly.
Coronary artery bypass grafting in patients with advanced left ventricular dysfunction  Gregory D Trachiotis, MD, William S Weintraub, MD, Thomas S Johnston,
Removal of prostaglandin E2 and increased intraoperative blood pressure during modified ultrafiltration in pediatric cardiac surgery  Kazuto Yokoyama,
Modified Ultrafiltration Attenuates Dilutional Coagulopathy in Pediatric Open Heart Operations  Robert H Friesen, David N Campbell, David R Clarke, Michael.
Management of catheter-induced pulmonary artery perforation: a rare complication in cardiovascular operations  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Continuous pulmonary perfusion during cardiopulmonary bypass prevents lung injury in infants  Takaaki Suzuki, MD, Toyoki Fukuda, MD, Tsutomu Ito, MD,
James L Zellner, MD, Scott B Kribbs, BS, B
Bashir M Matata, PhD, Andrzej W Sosnowski, MD, Manuel Galiñanes 
Effect of modified ultrafiltration in high-risk patients undergoing operations for congenital heart disease1  Ko Bando, MD, Mark W Turrentine, MD, Palaniswamy.
Aprotinin and Dipyridamole for the Safe Reduction of Postoperative Blood Loss  Gideon Cohen, Joan Ivanov, Richard D Weisel, Vivek Rao, Molly K Mohabeer,
Sivelestat Attenuates Lung Injury in Surgery for Congenital Heart Disease With Pulmonary Hypertension  Norikazu Nomura, MD, PhD, Miki Asano, MD, PhD,
Hyperoxia for management of acid-base status during deep hypothermia with circulatory arrest  Jeffrey M Pearl, MD, Donald W Thomas, Gary Grist, Jodie.
Decreased exhaled nitric oxide may be a marker of cardiopulmonary bypass–induced injury  Maurice Beghetti, MD, Philip E Silkoff, Marlova Caramori, MD,
Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 
Oxidative Stress and Atrial Fibrillation After Cardiac Surgery: A Case-Control Study  Basel Ramlawi, MD, MMSc, Hasan Otu, PhD, Shigetoshi Mieno, MD, Munir.
An Analysis of Oxygen Consumption and Oxygen Delivery in Euthermic Infants After Cardiopulmonary Bypass With Modified Ultrafiltration  Jia Li, MD, PhD,
Effect of Heparin Loading During Congenital Heart Operation on Thrombin Generation and Blood Loss  Sophronia O Turner-Gomes, MB, ChB, Evan P Nitschmann,
Hypogammaglobulinemia after cardiopulmonary bypass in infants
Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction 
John S. Ikonomidis, MD, PhD, Ebony J
Use of Amiodarone After Major Lung Resection
Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Anne H Kuitunen, MD, Lasse J Heikkilä, MD, Markku T Salmenperä, MD 
Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response  Martin Westerberg, MD, Anders.
Endothelin-1 during and after cardiopulmonary bypass: Association to graft sensitivity and postoperative recovery  Brian R. Bond, PhD, B.Hugh Dorman,
Pulmonary metabolism of endothelin 1 during on-pump and beating heart coronary artery bypass operations  Patrick Mathieu, MDa, Jocelyn Dupuis, MD, PhDb,
Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model  Akif Ündar, PhD, Takafumi Masai, MD, Shuang-Qiang Yang,
Effect of cerebral embolization on regional autoregulation during cardiopulmonary bypass in dogs  Hulya Sungurtekin, MD, Umar S Boston, MD, Thomas A Orszulak,
Benjamin C. Sun, MD, Timothy A. Dickinson, CCP, Eric A
Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,
Infant cardiopulmonary bypass: a procoagulant state
Cassandra Joffs, MD, Himali R. Gunasinghe, BS, Marlina M
Editorial Board, January 2010
Bradford B. Smith, MD, Matthew A
Anticoagulation with bivalirudin during cardiopulmonary bypass in cardiac surgery  Julio C Vasquez, MD, Anna Vichiendilokkul, PharmD, Syed Mahmood, MD,
Platelet and Neutrophil Activation During Cardiac Surgical Procedures: Impact of Cardiopulmonary Bypass  David S Morse, David Adams, Barbarajean Magnani 
Hypothermic Low-Flow Cardiopulmonary Bypass Impairs Pulmonary and Right Ventricular Function More Than Circulatory Arrest  Jess M. Schultz, MD, Tara Karamlou,
Individualized heparin and protamine management in infants and children undergoing cardiac operations  Massimiliano Codispoti, MD, Christopher A Ludlam,
High Flow Rates During Modified Ultrafiltration Decrease Cerebral Blood Flow Velocity and Venous Oxygen Saturation in Infants  Rosendo A. Rodriguez, MD,
A. Thomas Pezzella, MD, Sari D
Inhibitory effect of milrinone on cytokine production after cardiopulmonary bypass  Nobuhiko Hayashida, MD, PhD, Hiroshi Tomoeda, MD, Takeshi Oda, MD,
No benefit of reduced heparinization in thoracic aortic operation with heparin-coated bypass circuits  Christian Olsson, MD, Agneta Siegbahn, MD, PhD,
Ronald A. Bronicki, MD, Carl L. Backer, MD, Harris P
Stephanie B. Clayton, PharmD, Jeffrey R. Acsell, CCP, Arthur J
Modified Ultrafiltration Reduces Postoperative Morbidity After Cavopulmonary Connection  Theodore C Koutlas, J.William Gaynor, Susan C Nicolson, James.
Off-Pump Plication of Left Ventricular Aneurysm
Time course of proinflammatory and anti-inflammatory responses after cardiac operation: monocyte HLA-DR expression  Y.John Gu, MD, PhD, Willem van Oeveren,
Effect of cardiopulmonary bypass on pulmonary gas exchange: a prospective randomized study  Craig M Cox, Raimondo Ascione, MD, Alan M Cohen, Ian M Davies,
Unusual form of coarctation of the distal thoracic aorta
Anthony P.C Yim, MD, Song Wan, MD, PhD, Tak Wai Lee, Ahmed A Arifi 
Aprotinin Enhances the Endogenous Release of Interleukin-10 After Cardiac Operations  Gary E Hill, Robert P Diego, Alfred H Stammers, Suzanne M Huffman,
Bosentan prevents hypoxia-reoxygenation–induced pulmonary hypertension and improves pulmonary function  Jeffrey M Pearl, MD, Scott A Wellmann, MD, Jerri.
Randomized Controlled Trial of Pericardial Blood Processing With a Cell-Saving Device on Neurologic Markers in Elderly Patients Undergoing Coronary Artery.
Method and Value of Digital Recording of Operations for Congenital Heart Disease  Mazyar Kanani, MRCS, Ergin Kocyildirim, MD, Gordon Cohen, MD, Kieran.
“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:
Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient 
Factors influencing intensive care unit length of stay after surgery for acute aortic dissection type A  Daniel Hoefer, MD, Elfriede Ruttmann, MD, Markus.
Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure  Victor O. Morell, MD, Peter A.
Cerebral microemboli during cardiopulmonary bypass: increased emboli during perfusionist interventions  Ruth L Taylor, MSc, Michael A Borger, MD, Richard.
The Impact of New Technology on Cardiothoracic Surgical Practice
Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support  Peter B. Manning, MD, Michael J. Rutter, MD,
Neutrophil CD11b upregulation during cardiopulmonary bypass is associated with postoperative renal injury  Christine S Rinder, MD, Manuel Fontes, MD,
Karl A. Bocchieri, BS, CCP, S. Jacob Scheinerman, MD, L
Safety of low hematocrits during cardiopulmonary bypass
A randomized trial of antithrombin concentrate for treatment of heparin resistance  Mathew R Williams, MD, Alyssa B D’Ambra, BA, James R Beck, Talia B.
Presentation transcript:

Effect of modified ultrafiltration on plasma thromboxane B2, leukotriene B4, and endothelin-1 in infants undergoing cardiopulmonary bypass  Jeffrey M Pearl, MD, Peter B Manning, MD, Jerri L McNamara, M.Michelle Saucier, BS, Donald W Thomas  The Annals of Thoracic Surgery  Volume 68, Issue 4, Pages 1369-1375 (October 1999) DOI: 10.1016/S0003-4975(99)00978-9

Fig 1 The mean end-CPB TXB2 level decreased from 101.2 ± 34 pg/mL at end-CPB to 46.9 ± 31 pg/mL after MUF (p < 0.05). Despite this decrease in TXB2 occurring during MUF, levels 1 hour postbypass were nearly identical to values in the non-MUF group. The Annals of Thoracic Surgery 1999 68, 1369-1375DOI: (10.1016/S0003-4975(99)00978-9)

Fig 2 Levels of LTB4 increased significantly during CPB in both groups. After MUF, levels increased to 119% of pre-MUF values. After CPB, levels of LTB4 fell towards baseline in both groups. The Annals of Thoracic Surgery 1999 68, 1369-1375DOI: (10.1016/S0003-4975(99)00978-9)

Fig 3 ET-1 increased in a progressive manner during bypass. ET-1 levels continued to rise 1 hour post-CPB, and were unaffected by MUF. The Annals of Thoracic Surgery 1999 68, 1369-1375DOI: (10.1016/S0003-4975(99)00978-9)