Autologous Blood inverse of the pre-filling technology in the application of cardiopulmonary bypass.docVIP

 PAGE \* MERGEFORMAT 17 Autologous Blood inverse of the pre-filling technology in the application of cardiopulmonary bypass [Keywords:] cardiopulmonary bypass; Autologous Blood inverse of the pre-charge technology; Autologous Blood inverse of the pre-charge techniques (retrograde autologous priming, RAP) refers to patients with CPB (cardiopulmonary bypass, CPB) before the patient’s own blood to use as much as possible to replace the pipe in the CPB priming solution of the crystal, reducing the start of the rapid transit Hemodilution adverse effects to patients. The technology is convenient, fast, cheap, some units in recent years has been clinical application. Is the history of the technology, clinical significance, methods of operation and the current problems of the technology to do are summarized below. 1 RAP technology, history of Heart-lung machine during heart surgery early in the invention, the huge machine needs a large number of whole blood to the pre-charge transfer, but later found the appropriate help patients with blood-thinning transitting microcirculatory perfusion and post-operative organ functional recovery. 1960 Pancio and Neptune [1] first reported the use of 1L of normal saline solution, pre-charge method of transit, arterial cannulation is established, from the artery to autologous blood in patients with retrograde drainage into the pipeline to replace the part of the crystalloid CPB, two reported 25 cases were treated by this technique can reduce postoperative blood transfusion requirements in patients, which is the embryonic form of RAP technology. It was not until the technology had provoked the nineties scholars attention, relevant reports on the rise. 1998 Rosengart [2] to improve the technology so that RAP technology can achieve with their own blood to replace piping in the CPB priming solution 1100ml effect, and reported 60 cases of body weight between 55 ~ 110 kg adult for the first time coronary artery bypass grafting patients