[Hematological differences between the effects of roller vs, centrifugal pump].
A secondary complication in the utilization of the CPB (cardiopulmonary bypass) is post-op bleeding due to alterations in the red blood cells and the activation sequences between coagulation, fibrinolysis and complement. We did this study with the objective to evaluate the behavior of the blood cells and coagulation factors using centrifugal pump (n = 12) roller pump (n = 12); we evaluated the consumption of blood products as well as measuring the amount of blood products used. There were no demographic differences between the two groups, the time on CPB was less than 85 minutes, blood flow in the centrifugal pump was maintained at an average of 3.6 l Vs 3.37 l in the roller pump, this being statistically significant. The blood values were compared in each group there were no statistically significant differences, however factor VIII, fibrinogen and platelets presented a tendency (p < 0.05) to be higher in the centrifugal pump group than in the control group (roller pump). Thus 1. In patients in whom we used centrifugal pump there was a tendency for preservation of factor VIII, platelets and fibrinogen. 2. There was no significant difference in the number of blood units transfused between the centrifugal vs roller pump. 3. patients in the centrifugal group were better perfused during CPB.4. 24 hrs. post-op, both groups showed no difference in post-op bleeding.
González Chon
O
O
Departamento de Anestesia, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Luna
P
P
Molina
J
J
Reyes
A
A
Huerta
M
M
Izaguirre
R
R
Rojas
A
A
D000328:Adult; D000368:Aged; D001779:Blood Coagulation Factors / Q000032:analysis; D001803:Blood Transfusion; D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D002498:Centrifugation; D001026:Coronary Artery Bypass; D005069:Evaluation Studies as Topic; D005260:Female; D006353:Heart-Assist Devices; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
D001779:Blood Coagulation Factors
Diferencias hematológicas entre los effectos de las bombas de rodillo y centrífuga.