Fluid Responsiveness Predictability in Immediate Postoperative Pediatric Cardiac Surgery. Is the Old Slandered Central Venous Pressure Back Again?

Shock ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eran Shostak ◽  
Tzippy Shochat ◽  
Orit Manor ◽  
Ovadia Dagan ◽  
Ofer Schiller
Keyword(s):  
Cardiac Surgery ◽  
Central Venous Pressure ◽  
Fluid Responsiveness ◽  
Venous Pressure ◽  
Pediatric Cardiac Surgery ◽  
Central Venous

Ventilator-induced central venous pressure variation can predict fluid responsiveness in post-operative cardiac surgery patients

2016 ◽  
Vol 60 (10) ◽  
pp. 1395-1403 ◽  
Author(s):  
T. G. V. Cherpanath ◽  
B. F. Geerts ◽  
J. J. Maas ◽  
R. B. P. de Wilde ◽  
A. B. Groeneveld ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Central Venous Pressure ◽  
Fluid Responsiveness ◽  
Venous Pressure ◽  
Pressure Variation ◽  
Central Venous ◽  
Predict Fluid Responsiveness

scholarly journals EFFECT OF MODIFIED ULTRAFILTRATION ON HEMODYNAMICS IN PEDIATRIC CARDIAC SURGERY AT ARMED FORCES INSTITUTE OF CARDIOLOGY/ NATIONAL INSTITUTE OF HEART DISEASES (AFIC/NIHD)

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S757-61
Author(s):  
Muneeb Ur Rehman ◽  
Tariq Rao ◽  
Naila Niaz ◽  
Shahid Nafees ◽  
Naseem Azad ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Haemoglobin Level ◽  
Central Venous Pressure ◽  
Pediatric Patients ◽  
Diastolic Pressure ◽  
Heart Diseases ◽  
Venous Pressure ◽  
Systolic Pressure ◽  
Pediatric Cardiac Surgery ◽  
Central Venous

Objective: To observe the effect of modified ultrafiltration on hemodynamics of pediatric patients. Study Design: A descriptive cross-sectional study. Place and Duration of Study: Pediatric Cardiac Surgery department, AFIC/NIHD Rawalpindi, from Jun 2019 to Dec 2019. Methodology: A total of 60 pediatric patients were included undergoing open-heart surgery with cardiopulmonary bypass, having age ≤6 years and weights ≤15kg. To assess hemodynamics parameters observed were pre modified ultrafiltration and post modified ultrafiltration measurements of haemoglobin level, systolic pressure, diastolic pressure, central venous pressure and the number of transfusions given after off-bypass. The data was entered and analyzed in SPSS-23. Results: The pre-operative mean Hb level of the 60 sampled patients was 12.08 ± 2.89 g/dl. The findings taken pre modified ultrafiltration and post modified ultrafiltration of haemoglobin level was (9.91 ± 0.91 g/dl and 13.09 ± 1.38 g/dl, p<0.05) after an average filtration of 370.83 ± 66.56 ml of the filtrate. The mean of systolic pressure was (61.3 ± 2.01 mmHg and 70.68 ± 1.76 mmHg, p<0.05), diastolic pressure was (49.95 ± 1.35 and 59.7 ± 6.85, p<0.005), Central Venous Pressure was (10.07 ± 1.18 and 9.9 ± 1.09, p>0.005) compared pre modified ultrafiltration and post modified ultrafiltration respectively. Conclusion: The study concluded that modified ultrafiltration has a significant impact on haemoglobin levels after bypass, decreases the allogenic transfusions and also improve the hemodynamics of the patient.

scholarly journals Subclavian Vein Catheterisation for Cardiac Surgery in Children

1980 ◽  
Vol 8 (1) ◽  
pp. 81-83 ◽  
Author(s):  
John L. Poole
Keyword(s):  
Cardiac Surgery ◽  
Central Venous Pressure ◽  
Success Rate ◽  
Subclavian Vein ◽  
Heart Surgery ◽  
Venous Pressure ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Central Venous ◽  
Infusion Line

Infraclavicular subclavian vein catheterisation is a useful means of measuring central venous pressure and establishing a central infusion line in children undergoing open heart surgery. In 48 children ranging in age from 15 months to 13 years, there was a high success rate and no morbidity.

Automatic regulation of the cardiopulmonary bypass

Perfusion ◽  
1986 ◽  
Vol 1 (2) ◽  
pp. 117-124 ◽  
Author(s):  
Juro Wada ◽  
Tsunekazu Hino ◽  
Hideki Kaizuka ◽  
Wolfgang R Ade
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Central Venous Pressure ◽  
Venous Return ◽  
Venous Pressure ◽  
Experimental Studies ◽  
Automatic Regulation ◽  
Central Venous ◽  
Respiratory Change ◽  
Clinical Cases

We devised a new method and system for the automatic regulation of cardiopulmonary bypass. The system is planned so that it is regulated according to the alteration of venous pressure which is a reflection of venous return in total cardiopulmonary bypass. After many experimental studies, we have used this system in four clinical cases of cardiac surgery. The system functioned sufficiently well in the clinical cases. Under the control of this system, the central venous pressure was kept at a preset level and changed cyclically in the same manner as the respiratory change through the entire cardiopulmonary bypass period. A constant and adequate venous return through the entire cardiopulmonary bypass period was assumed to be the most important factor for the venous return-triggered pump oxygenator.

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