A prototype paediatric venous cannula with shape change in situ

Details

Serval ID
serval:BIB_7195A29EB530
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A prototype paediatric venous cannula with shape change in situ
Journal
Perfusion
Author(s)
Jegger  D., Corno  A. F., Mucciolo  A., Mucciolo  G., Boone  Y., Horisberger  J., Seigneul  I., Jachertz  M., von Segesser  L. K.
ISSN
0267-6591 (Print)
Publication state
Published
Issued date
03/2003
Volume
18
Number
1
Pages
61-5
Notes
Evaluation Studies
Journal Article --- Old month value: Mar
Abstract
During cardiopulmonary bypass (CPB), venous drainage may be impeded due to small vessel and cannula size or chattering, thus, blood return to the heart-lung machine is reduced. We designed a self-expandable prototype cannula, which is able to maintain the vein open and overcome this problem and analysed its performance capability. This prototype and several other cannulae were tested using an access vessel diameter of 7 mm. An in vitro circuit was set up with a 10 mm penrose latex tube simulating the patient's vein placed between the patient preload reservoir and the cannula, encasing the cannula's inlet(s). Maximum flow rate was determined for passive venous drainage (PVD) at preloads (P) of 2 and 4 mmHg. We compared these results to three classic single-stage venous cannulae: basket tip, thoracic drain and percutaneous tip. By comparing the other cannulae to the prototype, under PVD conditions and a central venous pressure (CVP) of 2 mmHg, the prototype cannula's flow rate (1.32 +/- 0.04 L/min) outperformed the basket type (the best performing comparator) (1.02 +/- 0.08 L/min) by 23% (p < 0.005). When the preload was increased to 4 mmHg under PVD conditions, the same trend was noted with the prototype cannula (1.65 +/- 0.05 L/min), outperforming the basket cannula's value (1.26 +/- 0.05 L/min) by 24% (p < 0.001). This new cannula design provides superior flow characteristics, under all test conditions, compared to the classic single-stage venous cannulae used for paediatric CPB surgery.
Keywords
Blood Flow Velocity Catheterization, Central Venous/*instrumentation Child Equipment Design Equipment Failure Analysis Hemorheology Humans
Pubmed
Web of science
Create date
28/01/2008 10:28
Last modification date
20/08/2019 15:30
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