Vacuum-assisted drainage in cardiopulmonary bypass: advantages and disadvantages

de Carvalho Filho, Élio Barreto; de Lima Marson, Fernando Augusto; Gomes da Costa, Loredana Nilkenes; Antunes, Nilson
April 2014
Brazilian Journal of Cardiovascular Surgery;apr-jun2014, Vol. 29 Issue 2, p266
Academic Journal
Systematic review of vacuum assisted drainage in cardiopulmonary bypass, demonstrating its advantages and disadvantages, by case reports and evidence about its effects on microcirculation. We conducted a systematic search on the period 1997-2012, in the databases PubMed, Medline, Lilacs and SciELO. Of the 70 selected articles, 26 were included in the review. Although the vacuum assisted drainage has significant potential for complications and requires appropriate technology and professionalism, prevailed in literature reviewed the concept that vacuum assisted drainage contributed in reducing the rate of transfusions, hemodilutions, better operative field, no significant increase in hemolysis, reduced complications surgical, use of lower prime and of smaller diameter cannulas.


Related Articles

  • Arch repair with unilateral antegrade cerebral perfusion Küçüker, Şeref A.; Özatik, Mehmet Ali; Sarıtaş, Ahmet; Taşdemir, Oğuz // European Journal of Cardio-Thoracic Surgery;Apr2005, Vol. 27 Issue 4, p638 

    Abstract: Objective: Several antegrade cerebral perfusion techniques with differing neurological outcomes are employed for aortic arch repair. This study demonstrates the clinical results of aortic arch repair with unilateral cerebral perfusion via the right brachial artery. Methods: Between...

  • Excessive negative venous line pressures and increased arterial air bubble counts during miniaturized cardiopulmonary bypass: an experimental study comparing miniaturized with conventional perfusion systems. Aboud, Anas; Liebing, Kai; Börgermann, Jochen; Ensminger, Stephan; Zittermann, Armin; Renner, Andre; Hakim-Meibodi, Kavous; Gummert, Jan // European Journal of Cardio-Thoracic Surgery;Jan2014, Vol. 45 Issue 1, p69 

    OBJECTIVES Miniaturized cardiopulmonary bypass (MCPB) is increasingly used in cardiac surgery, because it can lower clinically significant complications such as systemic inflammatory response, haemolysis and high transfusion requirements. A limitation of MCPB is the risk of excessive negative...

  • Haemolysis during cardiopulmonary bypass: how to reduce the free haemoglobin by managing the suctioned blood separately. Pierangeli, A.; Masieri, V.; Bruzzi, F.; de Toni, E.; Grillone, G.; Boni, P.; Delnevo, A. // Perfusion;Nov2001, Vol. 16 Issue 6, p519 

    During cardiopulmonary bypass (CPB) the collection of the patient's blood from the operating area is of fundamental importance. This blood is collected in the cardiotomy reservoir using field suckers and can be managed in different ways. It can be filtered in the cardiotomy reservoir and...

  • Cardiopulmonary bypass with physiological flow and pressure curves: pulse is unnecessary! Voss, Bernhard; Krane, Markus; Jung, Christoph; Brockmann, Gernot; Braun, Siegmund; Günther, Thomas; Lange, Rüdiger; Bauernschmitt, Robert // European Journal of Cardio-Thoracic Surgery;Jan2010, Vol. 37 Issue 1, p223 

    Abstract: Objective: Advocates of pulsatile flow postulate that the flow pattern during extracorporeal circulation (ECC) should be similar to the physiological one. However, the waveforms generated by clinically used pulsatile pumps are by far different from the physiological ones. Therefore, we...

  • Clinical evaluation of setting pump occlusion by the dynamic method: effect on flow. Mongero, L.B.; Beck, J.R.; Orr, T.W.; Kroslowitz, R.M.; Lee-Sensiba, K.; Oz, M.C. // Perfusion;1998, Vol. 13 Issue 5, p360 

    Pump manufacturers recommend setting roller pump occlusion such that the level of a 100 cm column of crystalloid drops 2.5 cm/min (Sarns?, 8000 Modular Perfusion System, operator's manual, roller pump software version 2.3L. May 1993; 2.12.14). Though this almost occlusive setting ensures...

  • Haemolysis during cardiopulmonary bypass: update. Wright, G. // Perfusion;Sep2001, Vol. 16 Issue 5, p345 

    Monitors and measures hemolysis during cardiopulmonary bypass (CPB). Causes of hemolysis during CPB; Blood cell trauma caused by the involvement of air entrainment; Harmful effects of cardiotomy suction.

  • A new concept of integrated cardiopulmonary bypass circuit Mueller, Xavier M.; Jegger, David; Augstburger, Monique; Horisberger, Judith; Godar, Gilles; von Segesser, Ludwig K. // European Journal of Cardio-Thoracic Surgery;May2002, Vol. 21 Issue 5, p840 

    Objective: Standard cardiopulmonary bypass (CPB) circuits with their large surface area and volume contribute to postoperative systemic inflammatory reaction and hemodilution. In order to minimize these problems a new approach has been developed resulting in a single disposable, compact...

  • High or low hematocrits during cardiopulmonary bypass for patients undergoing coronary artery bypass graft surgery? An evidence-based approach to the question. Groom, Robert C // Perfusion;Mar2002, Vol. 17 Issue 2, p99 

    Explains the significance of dthe use of hemodilution on cardiopulmonary bypass to support the circulation and permit attempted intracardiac repair of an atrial septal defect in a human. Inverse relationship between hematocrit levels and the need for cardiac support.

  • In vivo effects on human skeletal muscle oxygen delivery and metabolism of cardiopulmonary bypass and perioperative hemodilution. Blasi, R.; Tonelli, E.; Arcioni, R.; Mercieri, M.; Cigognetti, L.; Romano, R.; Pinto, G. // Intensive Care Medicine;Mar2012, Vol. 38 Issue 3, p413 

    Purpose: To investigate the in vivo effects of cardiopulmonary bypass (CPB) and perioperative hemodilution on human skeletal muscle oxygen delivery and metabolism and to determine the dilution state at which these effects arise. Methods: We conducted this observational study in adult patients...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics