High pressure excursion in a radial design oxygenator
Oxygenator high-pressure (HPE) is a phenomenon that can occur during cardiopulmonary bypass (CPB) in which the oxygenator inlet pressure increases rapidly, thereby limiting flow. Most perfusionists globally do not use inlet oxygenator pressure monitoring and therefore HPE is not often recognized. HP...
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| Format: | Article |
| Language: | English |
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EDP Sciences
2024-12-01
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| Series: | The Journal of ExtraCorporeal Technology |
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| Online Access: | https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240015/ject240015.html |
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| _version_ | 1841554685578706944 |
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| author | Svec Ashley Eadie Tyler D’Aloiso Brandon Arlia Peter |
| author_facet | Svec Ashley Eadie Tyler D’Aloiso Brandon Arlia Peter |
| author_sort | Svec Ashley |
| collection | DOAJ |
| description | Oxygenator high-pressure (HPE) is a phenomenon that can occur during cardiopulmonary bypass (CPB) in which the oxygenator inlet pressure increases rapidly, thereby limiting flow. Most perfusionists globally do not use inlet oxygenator pressure monitoring and therefore HPE is not often recognized. HPE may occur for various reasons, and it is not fully understood. Patient factors that put a patient at a higher risk of HPE are increased body surface area, blood type, and hematocrit count. Patient size, blood flow, and pressure drops of the oxygenator incorporated into the circuit can also increase the probability of an HPE occurring. This case study overviews our experience when dealing with an interesting case of HPE and the most up-to-date knowledge on appropriate steps to mitigate the effects on the patient. |
| format | Article |
| id | doaj-art-18e1bf8b9d3b4b00b11afbc20b440c3c |
| institution | Kabale University |
| issn | 0022-1058 2969-8960 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | The Journal of ExtraCorporeal Technology |
| spelling | doaj-art-18e1bf8b9d3b4b00b11afbc20b440c3c2025-01-08T11:00:21ZengEDP SciencesThe Journal of ExtraCorporeal Technology0022-10582969-89602024-12-0156420320610.1051/ject/2024019ject240015High pressure excursion in a radial design oxygenatorSvec Ashley0Eadie Tyler1D’Aloiso Brandon2https://orcid.org/0000-0003-0710-389XArlia Peter3UPMC Presbyterian PerfusionUPMC Presbyterian PerfusionUPMC Presbyterian PerfusionUPMC Presbyterian PerfusionOxygenator high-pressure (HPE) is a phenomenon that can occur during cardiopulmonary bypass (CPB) in which the oxygenator inlet pressure increases rapidly, thereby limiting flow. Most perfusionists globally do not use inlet oxygenator pressure monitoring and therefore HPE is not often recognized. HPE may occur for various reasons, and it is not fully understood. Patient factors that put a patient at a higher risk of HPE are increased body surface area, blood type, and hematocrit count. Patient size, blood flow, and pressure drops of the oxygenator incorporated into the circuit can also increase the probability of an HPE occurring. This case study overviews our experience when dealing with an interesting case of HPE and the most up-to-date knowledge on appropriate steps to mitigate the effects on the patient.https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240015/ject240015.htmlcardiopulmonary bypasshigh pressure excursioncase report |
| spellingShingle | Svec Ashley Eadie Tyler D’Aloiso Brandon Arlia Peter High pressure excursion in a radial design oxygenator The Journal of ExtraCorporeal Technology cardiopulmonary bypass high pressure excursion case report |
| title | High pressure excursion in a radial design oxygenator |
| title_full | High pressure excursion in a radial design oxygenator |
| title_fullStr | High pressure excursion in a radial design oxygenator |
| title_full_unstemmed | High pressure excursion in a radial design oxygenator |
| title_short | High pressure excursion in a radial design oxygenator |
| title_sort | high pressure excursion in a radial design oxygenator |
| topic | cardiopulmonary bypass high pressure excursion case report |
| url | https://ject.edpsciences.org/articles/ject/full_html/2024/04/ject240015/ject240015.html |
| work_keys_str_mv | AT svecashley highpressureexcursioninaradialdesignoxygenator AT eadietyler highpressureexcursioninaradialdesignoxygenator AT daloisobrandon highpressureexcursioninaradialdesignoxygenator AT arliapeter highpressureexcursioninaradialdesignoxygenator |