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Histamine release during paediatric cardiopulmonary bypass
D E Withington1, M Elliot, W K Man
1Department of Anaesthesia, Hospital for Sick Children, London, UK.
Summary
Histamine is released during pediatric cardiopulmonary bypass, particularly after reperfusion. Higher left atrial histamine levels suggest release from the pulmonary vasculature.
Area of Science:
- Cardiovascular Surgery
- Pharmacology
- Physiology
Background:
- Pediatric cardiopulmonary bypass involves complex physiological changes.
- Histamine is a mediator involved in inflammatory and vascular responses.
Purpose of the Study:
- To investigate histamine release during pediatric cardiopulmonary bypass.
- To determine the source of histamine release post-reperfusion.
Main Methods:
- Measurement of histamine levels in atrial blood during pediatric cardiopulmonary bypass.
- Comparison of histamine levels between left and right atria.
Main Results:
- Histamine release was observed upon aortic cross-clamp removal.
- Left atrial histamine levels were significantly higher than right atrial levels post-reventilation (p < 0.02).
Conclusions:
- Histamine is released during pediatric cardiopulmonary bypass.
- Pulmonary vasculature is a likely source of histamine release following reperfusion.