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Related Experiment Videos

Oxygenator evaluation: Maxima 1380 versus Maxima Plus.

J H Engle1, J Ploessl, R Sutton

  • 1Perfusion Technology Program, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.

The Journal of Extra-Corporeal Technology
|February 7, 1995
PubMed
Summary

The Maxima Plus oxygenator shows improved efficiency in oxygen and carbon dioxide transport compared to the Maxima 1380. This upgrade enhances patient safety during cardiopulmonary bypass procedures.

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Area of Science:

  • Biomedical Engineering
  • Cardiovascular Surgery
  • Respiratory Physiology

Background:

  • Continuous advancements in oxygenator technology are crucial for enhancing patient safety and support during cardiopulmonary bypass (CPB).
  • Evaluating new oxygenator models is essential to ensure optimal gas exchange and patient outcomes.

Purpose of the Study:

  • To compare the performance of the Maxima 1380 oxygenator with its upgraded counterpart, the Maxima Plus oxygenator.
  • To assess the efficiency of gas transport (oxygen and carbon dioxide) between the two oxygenator models.

Main Methods:

  • A randomized study involving 32 adult patients undergoing CPB.
  • Data collection included patient demographics, physiological parameters (temperature, saturation, blood gases), blood flow, and oxygenator settings (gas sweep, FiO2).

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  • Statistical analysis was performed to compare the two groups and identify correlations between variables.
  • Main Results:

    • No significant differences were observed between the Maxima 1380 and Maxima Plus groups in terms of patient weight, body surface area, arterial blood gases, temperature, venous oxygen saturation, or blood flow.
    • The Maxima Plus group exhibited significantly lower mean gas sweep rates and fraction of inspired oxygen (FiO2) settings.
    • The Maxima 1380's FiO2 and gas sweep rate were dependent on multiple patient and procedural variables, whereas the Maxima Plus showed simpler dependencies.

    Conclusions:

    • The Maxima Plus oxygenator demonstrates superior efficiency in oxygen and carbon dioxide transport compared to the Maxima 1380.
    • The improved efficiency of the Maxima Plus may lead to optimized gas exchange during cardiopulmonary bypass.
    • These findings suggest the Maxima Plus represents a significant advancement in oxygenator technology for CPB.