Modified Ultrafiltration in Pediatric Open Heart Surgery.
- Author:
Jeong Ryul LEE
1
;
Hong Gook LIM
;
Yong Jin KIM
;
Joon Rhyang RHO
;
Kyung Phill SUH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul National University Medical Research Center, Heart Research Institute. jrl@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Ultrafiltration;
Cardiopulmonary bypass;
Heart surgery, Pediatrics
- MeSH:
Blood Pressure;
Body Water;
Body Weight;
Cardiopulmonary Bypass;
Central Venous Pressure;
Filtration;
Heart Diseases;
Heart Rate;
Heart*;
Hematocrit;
Hemodynamics;
Humans;
Infant;
Thoracic Surgery*;
Ultrafiltration*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(6):518-524
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study has proven the effect of modified ultrafiltration(MUF) performed after the cessation of cardiopulmonary bypass in pediatric patients who underwent open heart surgery. MATERIAL AND METHOD: From Jan. to Dec. 1997, modified ultrafiltration was performed after cardiopulmonary bypass in 50 infants with cyanotic heart disease and the results were compared to the control group of 50 patients with cyanotic heart disease in whom modified ultrafiltration was not used. Changes of hematocrit, central venous pressure, systolic and diastolic pressure, heart rate and body weight were compared. RESULT: Age and body weight were not different(p=0.38, p=0.46). Disease categories were similar. Average filtering volume was 60.0+/-29.2cc/kg for 7.0+/-2.4minutes of filtration. Mean hematocrit after filtration(MUF=36.1%, control=26.4%, p=0.001) was higher in the MUF group. Systolic (p=0.0001) and diastolic blood pressure(p=0.0001) were observed to increase more and the central venous pressure(p=0.02) and the heart rate(p=0.02) were lower after filtration in the MUF group. CONCLUSION: This study demonstrated that modified ultrafiltration after cardiopulmonary bypass was a technically feasible option to improve the post-surgical course through the effective hemoconcentration, hemodynamic improvements, and body water control.
