Tags Archives: Flow

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Using an intermittent flow (“clamp and flash”) method to assess the readiness to wean from VA ECMO in adult and…

Abstract Background: The use of VA extracorporeal membrane oxygenation (ECMO) for cardiac recovery is widely adopted, with extensive publications on assessing readiness to wean from VA ECMO. Techniques to reduce..

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Complications of microaxial flow pump and VA-ECMO in infarct-related cardiogenic shock: Insights from the Netherlands heart registration

Abstract Background Active mechanical circulatory support (MCS) is associated with high complication rates. Reducing device-related complications may improve outcomes in patients with infarct-related cardiogenic shock (AMI-CS). This study aims to..

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Pulsatile Physiological Control of Blood Pump-Cardiovascular System Based on Feedforward Compensation

Abstract Rotary Blood Pump (RBP) is a commonly used ventricular assist device. However, the constant speed operation of the blood pump leads to a reduction of blood flow pulsatility, which..

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Flow Matters: Revisiting Pulsatility in Cardiopulmonary Bypass.

Introduction The heart is nature’s pulsatile pump, delivering rhythmic surges of blood critical not only for oxygen transport but also for maintaining vascular health. Cardiopulmonary bypass, a lifesaving intervention, often..

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Impact of cardiopulmonary bypass flow on the lower limit of cerebral autoregulation during cardiac surgery: a randomized cross-over pilot study

Abstract Assessment of cerebral autoregulation is challenging under different hemodynamic conditions during cardiac surgery and must be rapidly calculated in order to optimize mean arterial pressure (MAP). Whether systemic flow..

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Flow Physiology of Extracorporeal Circulation

Introduction Extracorporeal circulation (ECC), used in cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO), serves as a temporary replacement for the heart and lungs. It maintains tissue perfusion and gas..

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Transmitral Doppler flow reflecting elevated pulsatility index in a HeartMate III assist device Get access Arrow

Abstract A 70-year-old patient with idiopathic dilated cardiomyopathy underwent implantation of a HeartMate III left ventricular assist device (LVAD) at INTERMACS IV. Postoperatively, right ventricular (RV) failure was managed with..

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Easy flow: An eclectic cardiopulmonary bypass simulation model

Abstract The aphorism “Primum non nocere” underscores the responsibility of healthcare professionals to prioritize patient safety. Perfusionists, experts in extracorporeal circulation, play a pivotal role in maintaining cardiac function during..

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Acute kidney injury during extracorporeal life support in cardiogenic shock: Does flow matter?

Abstract Background This study examines the role of extracorporeal life support flow in the development of acute kidney injury in cardiogenic shock. Methods We performed a retrospective analysis of 465..

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Low-flow perfusion technique for shaggy aortic arch

Abstract Background The most common complication of thoracic aortic disease with shaggy aorta is cerebral infarction. We have performed “low-flow perfusion” as a method of extracorporeal circulation to prevent cerebral..

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Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model

Abstract Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. Methods: Cannulae from two..

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Effect of flow rate ratio and positioning on a lighthouse tip ECMO return cannula

Abstract Extracorporeal membrane oxygenation is a life-saving support therapy in the case of cardiopulmonary refractory failure. Its use is associated to complications due to the presence of artificial surfaces and..

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Detecting the Change in Total Circulatory Flow with a Wireless, Wearable Doppler Ultrasound Patch: A Pilot Study

Abstract OBJECTIVE:  Measuring fluid responsiveness is important in the management of critically ill patients, with a 10–15% change in cardiac output typically being used to indicate “fluid responsiveness.” Ideally, these changes would..

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FLOW PATTERNS OF BLOOD POST APPLICATION OF CROSS CLAMP DURING CARDIOPULMONARY BYPASS

Abstract Cardiopulmonary bypass (CPB) is a common procedure carried out to provide a fluid free and motionless work field at the time of cardiac surgical procedures. To achieve CPB, cannulation..

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Time course, factors related to, and prognostic impact of venoarterial extracorporeal membrane flow in cardiogenic shock

Abstract Aims Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is currently one of the most used devices in refractory cardiogenic shock. However, there is a lack of evidence on how to set..

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Impact of Venoarterial Extracorporeal Membrane Oxygenation Flow on Outcomes in Cardiogenic Shock

Abstract Venoarterial extracorporeal membrane oxygenation (VA ECMO) is used to provide cardiopulmonary support in cardiogenic shock; however, high extracorporeal flow may increase left ventricular (LV) afterload leading to LV distention..

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Aortic Flow Below and Visceral Circulation During Aortic Counterpulsation: Evaluation of An In Vitro Model

Introduction This study aimed to test a computer-driven cardiovascular model for the evaluation of the visceral flow during intra-aortic balloon pump (IABP) assistance. Methods The model includes a systemic and..

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