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Interact CardioVasc Thorac Surg 2008;7:78-79. doi:10.1510/icvts.2007.163659A © 2008 European Association of Cardio-Thoracic Surgery
Miniaturized cardiopulmonary bypass system in neonates and small infantsBakoulev Scientific Center for Cardiovascular Surgery, Rublevskoe Shosse 135, Moscow 121552, Russia Miniaturized cardiopulmonary bypass system in neonates and small infants Reducing the prime volume in cardiopulmonary bypass circuit (CPB-circuit) is very important especially in newborns and small infants with complex congenital heart diseases (CHD). Since the year 2000, the authors have performed great work: 140 ml of prime and biocompatible PMEA-coating among children weighing less than 5 kg [1]. That was a principal reason for the decrease in postoperative complications, significantly due to prophylactics of the systemic inflammatory response (SIRS). A stepwise multiple logistic regression analysis was very helpful to determine the role of different factors in the structure of postoperative complications. We would like to know the following: (1) What HCT level was kept during CPB? (2) Did the authors analyze the interrelation between the volume of transfusion during CPB, postoperative peak C-reactive protein (CRP) and peak white blood cells (WBC), body weight gain and the duration of postoperative mechanical ventilation (MVT)? (3) Was the residual volume of CPB circuit returned to the patient and in what way?
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