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Published on: September 22, 2017
Subzero balance - simple modified ultrafiltration (SBUF-SMUF) technique for pediatric cardiopulmonary bypass
Joel Bierer1, Mark Henderson2, Roger Stanzel2
1Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Canada.
Insights
Pediatric cardiac surgery using cardiopulmonary bypass (CPB) can cause complications. A new ultrafiltration method, Subzero Balance Simple Modified Ultrafiltration (SBUF-SMUF), aims to improve patient recovery after surgery.
Area of Science:
- Cardiovascular Surgery
- Pediatric Critical Care
- Biomedical Engineering
Background:
- Cardiopulmonary bypass (CPB) in pediatric cardiac surgery is linked to hemodilution, coagulopathy, and systemic inflammation.
- Intra-operative ultrafiltration is a standard method to mitigate CPB-associated adverse effects.
Purpose of the Study:
- To introduce and describe a novel ultrafiltration technique, Subzero Balance Simple Modified Ultrafiltration (SBUF-SMUF).
- To evaluate the potential of SBUF-SMUF to enhance recovery in pediatric patients following cardiac surgery and CPB.
Main Methods:
- The study describes the SBUF-SMUF technique, combining continuous and non-continuous ultrafiltration modalities.
- Application of SBUF-SMUF during intra-operative procedures in pediatric cardiac surgery.
Main Results:
- The SBUF-SMUF technique aims to reduce adverse effects associated with CPB.
- Enhanced recovery is the anticipated outcome for pediatric patients undergoing cardiac surgery.
Conclusions:
- SBUF-SMUF represents a novel approach to ultrafiltration in pediatric cardiac surgery.
- This technique holds promise for improving patient outcomes and recovery post-CPB.
Abstract:
The use of cardiopulmonary bypass (CPB) can be associated with significant hemodilution, coagulopathy and a systemic inflammatory response for infants and children undergoing cardiac surgery. Intra-operative ultrafiltration has been used for decades to ameliorate these harmful effects. The novel combination of a continuous and non-continuous form of ultrafiltration, Subzero Balance Simple Modified Ultrafiltration (SBUF-SMUF) here described, seeks to enhance recovery from pediatric cardiac surgery and CPB.
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