Pediatric perfusion in Japan: 2010 practice survey

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiology
• Perfusion Technology

Background:

• Pediatric cardiopulmonary bypass (CPB) practices vary globally.
• Understanding current perfusion techniques in Japan is crucial for improving pediatric cardiac surgery outcomes.
• This is the first comprehensive survey of pediatric perfusion in Japan.

Purpose of the Study:

• To survey and describe current pediatric perfusion practices in Japan.
• To establish a baseline for future trend analysis in pediatric CPB and ECMO.
• To identify the utilization of specific perfusion technologies and strategies.

Main Methods:

• A nationwide survey of 70 congenital heart centers in Japan.
• Data collected from January 2007 to December 2009.
• 53 centers (76%) completed the survey detailing CPB and ECMO procedures and equipment.

Main Results:

• In 2009, 3,379 pediatric CPB procedures were reported.
• High utilization of biomaterial-coated circuits (78%), roller pumps (91%), and pre-bypass ultrafiltration.
• Significant use of regional oxygen saturation monitoring (69%) and crystalloid cardioplegia (56%).
• Pediatric extracorporeal membrane oxygenation (ECMO) procedures increased from 98 in 2007 to 119 in 2009, with 58% of centers using centrifugal pumps.

Conclusions:

• The survey provides a snapshot of pediatric perfusion practices in Japan during 2007-2009.
• Identifies common equipment and strategies, including high flow management and alpha-stat control.
• Establishes a foundation for tracking future advancements and changes in pediatric perfusion care in Japan.