Modified Ultrafiltration Circuit Versus Simplified Ultrafiltration Circuit in Cardiac Surgery
Ultrafiltration Circuit in Cardiac Surgery
Keywords:
ultrafiltration circuit, open-heart surgery, cardiopulmonary bypassAbstract
Naresuan University Hospital has designed a new modified ultrafiltration circuit, but the effect on patients has not been studied. The objective of this retrospective study was to compare the effectiveness of using ultrafiltration circuit in patients undergoing open-heart surgery between group of 55 people using the modified ultrafiltration circuit and group of 55 people using simplified ultrafiltration circuit from January, 2015 to December, 2016. Data were analyzed with chi-square, independent t, and Mann Whitney U tests. The results showed that personal data and clinical data were not different, except for the type of acquired heart surgery in group used the modified ultrafiltration circuit has a number of isolated CABG surgery patients more than group used the simplified ultrafiltration circuit with statistically significant. As for surgical data, fluid removal, and fluid requirement data, postoperative data and postoperative complications were not different, but the modified ultrafiltration circuit has the advantage of being easy to install, cheap and suitable for both pediatric and adult patients, reduce the risk of air embolism. There are many ultrafiltration circuit techniques, it is important to choose the right method of ultrafiltration circuit on the right patient for the greatest benefit to the patient.
References
2. Ziyaeifard M, Alizadehasl A, Massoumi G. Modified ultrafiltration during cardiopulmonary bypass and postoperative course of pediatric cardiac surgery. Res Cardiovasc Med 2014;3(2):e17830. doi: 10.5812/cardiovascmed.17830.
3. Krobthong W. Veno-venous modified ultrafiltration in Queen Sirikit National Institute of Children Health. Thai Pediatr J [Internet]. 2008 [cited 2019 May 12];15(3):269-75. Available from: http://dlibrary.childrenhospital.go.th/bitstream/handle/
6623548333/599/qsnich-thai-pediatric-journal-15-3-2008-p269.pdf?sequence=3
4. Linda B, James R. On bypass: Advanced perfusion techniques. New Jersey: Humana Press; 2008.
5. Kijjanon N, Deebanklong S. A comparison of length of hospital stay and complications in patients with on-pump and off-pump coronary artery bypass surgery. Rama Nurs J 2011;17(3):358-70.
6. Sahoo TK, Kiran U, Kapoor PM, Choudhary SK, Choudhury M. Effects of combined conventional ultrafiltration and a simplified modified ultrafiltration in adult cardiac surgery. Ind Thorac Cardiovasc Surg 2007;23 (2):116-24.
7. Kijjanon N, Get-Kong S. Factors influencing length of stay in open heart surgery patients. Thai J Cardio-Thoracic Nurs 2009;20(1):33-45.
8. Boonyasanti N. Factors associated with length of stay's of heart surgery patients in Chonburi Hospital [Internet]. Chonburi: Heart Center of Chonburi hospital; 2017 [cited 2018 Oct 3]. Available from: http://www.cbh.moph.go.th/app/intranet/files/km/1507177405_5.%20%E0%B8%99%E0%B8%B4%E0%B8%A0%E0%B8%B1%E0%B8%AA%E0%B8%AA%E0%B8%A3%E0%B8%93%E0%B9%8C%20%E0%B8%9A%
E0%B8%B8%E0%B8% 8D%E0%B8%8D%E0%B8%B2%E0%B8%AA%E0%B8%B1%E0%B8%99%E0%B8%95%E0%B8%B4.pdf
9. Choudhary SK, Talwar S, Airan B, Yadav S, Venugopal P. A simplified circuit of modified ultrafiltration. Heart Lung Circ 2007; 16(2):113-5.
10. Wang S, Palanzo D, Undar A. Current ultrafiltration techniques before, during and after pediatric cardiopulmonary bypass procedures. Perfusion 2012;27(5):438-46.
11. Apiromrat R. Promotion of quality of life among patients with congestive heart failure. Thai JCardio-Thoracic Nurs2017; 28(1):2-15.
12. Yottasurodom C. EuroSCORE predict operative mortality in Thai cardiac surgical patients. J DMS 2009;34(12):731-42.
13. American College of Cardiology. Left ventricular ejection fraction (LVEF) Aasessment (outpatient setting) [Internet]. 2014 [cited 2018 Oct 5]. Available from:https://www.acc.org/tools-and-practicesupport/clinical-toolkits/~/media/1E4D
8F9B69D14F55821BFE642FBFA221.ashx
14. Matte GS. Perfusion for congenital heart surgery. New Jersey: John Wiley & Sons;2015.
