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A clinical evaluation of the performance characteristics of one membrane and five bubble oxygenators: Gas transfer and gaseous microemboli production

Lookup NU author(s): Emeritus Professor Alan MurrayORCiD

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Abstract

The gas transfer characteristics and gaseous microemboli (GME) production of five different bubble oxygenators (Polystan Venotherm, Harvey H-1700, Bentley BIO-10, Gambro 10 and Shiley S-100A HED) and one membrane oxygenator (Cobe CML) have been assessed during standardized clinical perfusion for open-heart surgery in 60 adult patients. The perfusionist attempted to maintain physiological levels of PaCO 2 (5 ± 1 kPa) and PaO2 (12 ± 2 kPa). Only 3% of blood gas values were within the normal range in the Bentley BIO-10 group compared with 17% for the Gambro 10, 20% for the Shiley S-100A HED, 31% for the Polystan Venotherm, 33% for the Cobe CML and 36% for the Harvey H-1700. The number of GME detected in the arterial line was significantly lower in the Cobe CML membrane oxygenator when compared with any of the five different bubble oxygenators (p < 0·001). The Polystan Venotherm released significantly less GME (p < 0·02) than the other oxygenators and the Shiley S-100A HED released significantly more GME (p < 0·02) than the other oxygenators except the Gambro 10. Low gas-blood flow ratios were not necessarily associated with low GME levels and inadequate oxygenation. This study provides meaningful data on which to base the choice of oxygenator, for clinical perfusions. © 1986, Sage Publications. All rights reserved.

Publication metadata

Author(s): Pearson DT, Holden MP, Poslad SJ, Murray A, Waterhouse PS

Publication type: Article

Publication status: Published

Journal: Perfusion

Year: 1986

Volume: 1

Issue: 1

Pages: 15-27

ISSN (print): 0267-6591

ISSN (electronic): 1477-111X

DOI: 10.1177/026765918600100103

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