title: Pediatric perfusion in Japan: 2010 practice survey.
abstract: We report here Japan's first pediatric perfusion survey. It covers practices from January 2007 through December 2009. Of the 70 congenital heart centers contacted, 53 (76%) completed the survey. They reported performing 3,379 pediatric cardiopulmonary bypass (CPB) procedures in 2009, 3,408 in 2008, and 3,358 in 2007.Twenty-eight percent of all centers used CPB circuits with a priming volume between 151-200 ml. All centers used pre-bypass ultrafiltration and only 6% used retrograde autologous priming. A biomaterial-coated circuit was used by 78% of the centers, a roller pump as the arterial pump by 91%, vacuum-assisted venous drainage by 39%, dilutional ultrafiltration by 48%, and modified ultrafiltration at the end of the procedure by 30%. A regional oxygen saturation monitor was used by 69% of the centers and high flow (150-200 ml/kg/min) management with alpha-stat blood gas control was standard during moderate to normothermic CPBs. Crystalloid cardioplegia solution was used as myocardial protection by 56% of the centers, electronic recording of monitoring data by 51%. The centers performed 98 pediatric extracorporeal membrane oxygenation procedures in 2007, 109 in 2008, and 119 in 2009; 58% of the centers used a centrifugal pump. This survey provides a description of the current practice in Japan. Future surveys will identify trends and rate of change in practice.
authors: Department of Cardiovascular Surgery, Okayama University Hospital, Okayama, Japan.
authors: H
authors: H
authors: Itoh
authors: S
authors: S
authors: Sano
authors: P
authors: P
authors: Pouard
mesh_terms: D002315:Cardiopulmonary Bypass / Q000379:methods* / Q000706:statistics & numerical data*; D003625:Data Collection; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods / Q000706:statistics & numerical data; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007564:Japan; D010372:Pediatrics; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014462:Ultrafiltration / Q000379:methods / Q000706:statistics & numerical data