Please use this identifier to cite or link to this item:
https://doi.org/10.1177/0267659120946727
DC Field | Value | |
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dc.title | Alternative technique of long acting cardioplegia delivery results in less hemodilution | |
dc.contributor.author | Ong, Geok Seen | |
dc.contributor.author | Guim, Goh Si | |
dc.contributor.author | Lim, Qi Xuan | |
dc.contributor.author | Chay-Nancy, Huang Shoo | |
dc.contributor.author | Jaafar, Nurdiyana Binte | |
dc.contributor.author | Lim, Clara Anne | |
dc.contributor.author | Clement, Chew Kai Hong | |
dc.contributor.author | Sazzad, Faizus | |
dc.contributor.author | Kofidis, Theo | |
dc.date.accessioned | 2020-10-12T03:35:14Z | |
dc.date.available | 2020-10-12T03:35:14Z | |
dc.date.issued | 2020-08-10 | |
dc.identifier.citation | Ong, Geok Seen, Guim, Goh Si, Lim, Qi Xuan, Chay-Nancy, Huang Shoo, Jaafar, Nurdiyana Binte, Lim, Clara Anne, Clement, Chew Kai Hong, Sazzad, Faizus, Kofidis, Theo (2020-08-10). Alternative technique of long acting cardioplegia delivery results in less hemodilution. PERFUSION-UK. ScholarBank@NUS Repository. https://doi.org/10.1177/0267659120946727 | |
dc.identifier.issn | 02676591 | |
dc.identifier.issn | 1477111X | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/177369 | |
dc.description.abstract | © The Author(s) 2020. Background: Preparation of del-Nido cardioplegia and its delivery technique can cause significant hemodilution. The resultant effects from hemodilution are largely proportionate to the use of a dual circuit. We opted for a custom-disposable single cardioplegia circuit instead of a dual circuit. Methods: We describe an alternative technique of del-Nido cardioplegia delivery and initial clinical experience with it at National University Hospital, Singapore. This is a retrospective analysis of data from January 2017 to April 2019, comprising of 177 patients of heart surgery and reflecting a single center database survey under the National Health Care Group. Results: Of the 177 patients who underwent surgery with del-Nido cardioplegia, 76 (42.9%) were valve-only procedures and 5 (2.8%) were coronary artery bypass graft–only procedures. Ultrafiltration was utilized in 132 (62.6%) patients, whereas filtrate volume was 2200 [150-9500] mL. The alternative technique of del-Nido cardioplegia delivery adopted by National University Hospital advocates for a single pump, single circuit system. The retrospective institutional data highlighted safe delivery of del-Nido cardioplegia using this technique in a range of procedures. Conclusion: Besides the safe delivery of del-Nido cardioplegia, the National University Hospital Technique reduces hemodilution and provides other technical benefits including a steeper temperature gradient, modification of circuit configuration to deliver another cardioplegia while on bypass, as well as re-configuration of clamps to spike the base solution. | |
dc.language.iso | en | |
dc.publisher | SAGE PUBLICATIONS LTD | |
dc.source | Elements | |
dc.subject | Science & Technology | |
dc.subject | Life Sciences & Biomedicine | |
dc.subject | Cardiac & Cardiovascular Systems | |
dc.subject | Peripheral Vascular Disease | |
dc.subject | Cardiovascular System & Cardiology | |
dc.subject | cardioplegia | |
dc.subject | cardiopulmonary bypass | |
dc.subject | perfusion | |
dc.subject | device | |
dc.subject | DEL NIDO CARDIOPLEGIA | |
dc.subject | CARDIAC-SURGERY | |
dc.type | Article | |
dc.date.updated | 2020-10-11T15:11:24Z | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.1177/0267659120946727 | |
dc.description.sourcetitle | PERFUSION-UK | |
dc.published.state | Published | |
Appears in Collections: | Elements Staff Publications |
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