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CARDIOVASCULAR
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Volume 3, 1998, No 2 |
Abstract:
Backbround: Severe respiratory failure is often accompanied by
cardiac failure. Circulatory and respiratory assistance is
simultaneously necessary in patients with severe cardiopulmonary
failure. A new intravascular pumping oxygenator (IVPO) has been
developed for intravascular gas exchange and circulatory
assistance in critically ill patients with respiratory and
circulatory failure. Methods: The IVPO utilizes new silicone
hollow fibers (diameter 1mm, membrane width 50 um) and consists
of two driving tubes for the oxygenation and pumping of
circulating blood. Using an experimental ex vivo model, the
performance characteristics of the IVPO were studied. Results:
With a mean hemoglobin concentration of 10.5 ± 2.3 g/dl, total
oxygen transfer was 5.6 ± 1.5 ml/min at a blood flow of 200
ml/min, 6.3 ± 2.2 ml/min at a blood flow of 250 ml/min. Total
CO2 transfer was 3.8 ± 1.4 ml/min at a blood flow of 200 ml/min,
4.2 ± 1.6 ml/min at a blood flow of 250 ml/min. Blood flow
increased to a maximum of 250 ml/min at maximum during IVPO
pumping. Conclusion: This preliminary experiment demonstrated
that the IVPO has the capacity to function both as a circulatory
assist pump and an intravascular hollow fiber oxygenator.
Keywords:
intravascular oxygenator, silicone hollow fiber, circulatory
assistance
Address for Correspondence:
Reference:
(CVE. 1998; 3 (2): 92-94)
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