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The Journal of ExtraCorporeal Technology最新文献

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Development of new colloid osmotic pressure measurement method using ultrafiltration membrane during cardiopulmonary bypas 体外循环中超滤膜胶体渗透压测量新方法的建立
The Journal of ExtraCorporeal Technology Pub Date : 2023-07-24 DOI: 10.1051/ject/2023028
Takeshi Matsumoto, K. Yoshida, Tomotaka Shinohara, E. Miyoshi, T. Ueno
{"title":"Development of new colloid osmotic pressure measurement method using ultrafiltration membrane during cardiopulmonary bypas","authors":"Takeshi Matsumoto, K. Yoshida, Tomotaka Shinohara, E. Miyoshi, T. Ueno","doi":"10.1051/ject/2023028","DOIUrl":"https://doi.org/10.1051/ject/2023028","url":null,"abstract":"Background: Clinical practice of measuring colloid osmotic pressure (COP) was abandoned after correcting hypoosmolarity did not improve overall patient outcomes. However, the use of albumin and colloidal solutions has contributed to maintaining intraoperative and postoperative fluid balance at lower levels. Reduced perioperative fluid balance is consistently reported to have positive effects on clinical outcomes. Priming solutions for cardiopulmonary bypass typically include colloids; however, the optimal type of priming solution has not yet been determined. Stricter COP management may further improve postoperative courses. To achieve this, the widespread adoption of a measurement method suitable for COP monitoring during cardiopulmonary bypass is required. Methods: A test circuit was made which measured COP using an ultrafiltration membrane method based on the changes in hydrostatic pressure that occurs across a semipermeable membrane. We then compared the measurements obtained using this method with colloidal osmometer measurements. Results: COP measurements were obtained for a total of 100 tests (10 times each for 10 test solutions). The evaluation parameters included simultaneous reproducibility, correlation with colloid osmometer, and measurement time. The results demonstrated high accuracy of the ultrafiltration membrane method, simultaneous reproducibility within 3%, a high positive correlation with the colloid osmometer (correlation coefficient: R2 = 0.99; p < 0.01), and","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127113640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Our initial experience of monitoring the autoregulation of cerebral blood flow during cardiopulmonary bypass 体外循环过程中监测脑血流自动调节的初步研究
The Journal of ExtraCorporeal Technology Pub Date : 2023-07-21 DOI: 10.1051/ject/2023032
L. Andersen, M. Appelblad, Urban Wikliund, N. Sundström, S. Svenmarker
{"title":"Our initial experience of monitoring the autoregulation of cerebral blood flow during cardiopulmonary bypass","authors":"L. Andersen, M. Appelblad, Urban Wikliund, N. Sundström, S. Svenmarker","doi":"10.1051/ject/2023032","DOIUrl":"https://doi.org/10.1051/ject/2023032","url":null,"abstract":"Abstract\u0000Background: Cerebral blood flow is believed to be relatively constant within an upper and lower blood pressure limit. Different methods are available to monitor cerebral blood flow autoregulation during surgery. This study aims to critically analyze the application of the cerebral oxygenation index (COx), one of the commonly used techniques, using reference to data from a series of clinical registrations.\u0000Method: Cerebral blood flow was monitored using near infrared spectroscopy, while cerebral blood pressure was estimated by recordings obtained from either the radial or femoral artery in 10 patients undergoing cardiopulmonary bypass. The association between cerebral blood flow and blood pressure was calculated as a moving continuous correlation coefficient. A Cox index > 0.4 was regarded as a sign of abnormal cerebral autoregulation. Recordings were examined to discuss reliability measures and clinical feasibility of the measurements, followed by interpretation of individual results, identification of possible pitfalls and suggestions of alternative methods.\u0000Results and Conclusion: Monitoring of cerebral autoregulation during cardiopulmonary bypass is intriguing and complex. A series of challenges and limitations should be considered before introducing this method into clinical practice.","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130761726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise. ECPR用于延长儿童心脏骤停，无重大神经损害的结果。
The Journal of ExtraCorporeal Technology Pub Date : 2023-06-21 DOI: 10.1051/ject/2023019
Laura Soriano, Eduardo Becerra Zapata, Nicolas Maya Trujillo, German Andres Franco Gruntorad
{"title":"ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise.","authors":"Laura Soriano, Eduardo Becerra Zapata, Nicolas Maya Trujillo, German Andres Franco Gruntorad","doi":"10.1051/ject/2023019","DOIUrl":"https://doi.org/10.1051/ject/2023019","url":null,"abstract":"Pediatric in-hospital cardiac arrest (IHCA) has been reported in 1 – 3% of pediatric intensive care unit (ICU) admissions and up to 6% of children admissions in cardiac ICU. In the last 25 years, the survival to hospital discharge after pediatric IHCA has improved from 9% to 13.7% up to 35%.  The improvement in outcomes was attributed in part to the apparition of ECMO as a rescue strategy when prolonged conventional CPR cannot restore spontaneous circulation. We report a case of a 4th-month-old patient with a history of ventricular and septal defects, with left to right shunt and enlargement of left heart chambers that underwent surgery for the closure of the atrial and septal defects, and experienced complications that led to the use of ECMO in response to a prolonged cardiac arrest.","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129726581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jeffrey Brock Riley, CCT, CCP, PBMT, PBMS, CES-A Jeffrey Brock Riley, CCT, CCP, PBMT, PBMS, CES-A
The Journal of ExtraCorporeal Technology Pub Date : 2022-03-01 DOI: 10.1051/ject/202254088
R. Groom, M. Kurusz
{"title":"Jeffrey Brock Riley, CCT, CCP, PBMT, PBMS, CES-A","authors":"R. Groom, M. Kurusz","doi":"10.1051/ject/202254088","DOIUrl":"https://doi.org/10.1051/ject/202254088","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131105305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Leadership and Mentoring 领导与辅导
The Journal of ExtraCorporeal Technology Pub Date : 2021-12-01 DOI: 10.1051/ject/202153237
Raymond K. Wong
{"title":"Leadership and Mentoring","authors":"Raymond K. Wong","doi":"10.1051/ject/202153237","DOIUrl":"https://doi.org/10.1051/ject/202153237","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114756511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perfusion Crisis Manual 灌注危机手册
The Journal of ExtraCorporeal Technology Pub Date : 2020-09-01 DOI: 10.1051/ject/202052247
G. Grist
{"title":"Perfusion Crisis Manual","authors":"G. Grist","doi":"10.1051/ject/202052247","DOIUrl":"https://doi.org/10.1051/ject/202052247","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125609913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hail and Farewell 欢呼与告别
The Journal of ExtraCorporeal Technology Pub Date : 2020-03-01 DOI: 10.1051/ject/202052071
R. Groom, D. Fitzgerald, M. Kurusz
{"title":"Hail and Farewell","authors":"R. Groom, D. Fitzgerald, M. Kurusz","doi":"10.1051/ject/202052071","DOIUrl":"https://doi.org/10.1051/ject/202052071","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116147898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Joeann Guthrey Taylor Fraser: Trailblazing Nurse in a New Profession 乔安·格斯里·泰勒·弗雷泽:新职业的先锋护士
The Journal of ExtraCorporeal Technology Pub Date : 2018-09-01 DOI: 10.1051/ject/201850199
M. A. Rowland, Rn Joanne P. Formicola
{"title":"Joeann Guthrey Taylor Fraser: Trailblazing Nurse in a New Profession","authors":"M. A. Rowland, Rn Joanne P. Formicola","doi":"10.1051/ject/201850199","DOIUrl":"https://doi.org/10.1051/ject/201850199","url":null,"abstract":"This historical vignette describes the career of Joeann Guthrey Taylor Fraser. Her story begins as she cleans animal cages and sweeps floors in the research labs at Jefferson Medical College. As a nursing student at Jefferson she is fascinated by cardiac surgery and accepts the opportunity to learn to operate the heart-lung machine. Esteemed cardiac surgeons, Dr. John H. Gibbon, Jr. and Dr. John Y. Templeton III guide her to become one of the first perfusionists in the United States.","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121798504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From the Editor 来自编辑
The Journal of ExtraCorporeal Technology Pub Date : 2017-03-01 DOI: 10.1051/ject/201850003
J. Wegner
{"title":"From the Editor","authors":"J. Wegner","doi":"10.1051/ject/201850003","DOIUrl":"https://doi.org/10.1051/ject/201850003","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129327136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guidelines 的指导方针
The Journal of ExtraCorporeal Technology Pub Date : 2016-09-01 DOI: 10.1051/ject/201648097
J. Wegner
{"title":"Guidelines","authors":"J. Wegner","doi":"10.1051/ject/201648097","DOIUrl":"https://doi.org/10.1051/ject/201648097","url":null,"abstract":"","PeriodicalId":309024,"journal":{"name":"The Journal of ExtraCorporeal Technology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130409918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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