Vieira F U, Dantas de Medeiros J, Antunes N, Vieira R W, Costa E T
Center for Biomedical Engineering, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Perfusion. 2012 Nov;27(6):512-9. doi: 10.1177/0267659112453077. Epub 2012 Jul 16.
Roller pumps are commonly used in surgeries involving extracorporeal circulation and its regulation may influence the hemolysis rate.
To describe an auxiliary device for adjusting roller pumps using the dynamic calibration method and show preliminary results of its application in surgical procedures.
The device was tested in the laboratory environment with three disposable pressure transducers normally used in surgeries. In the operation room, tests were carried out with two groups of patients. Free hemoglobin plasma rates were measured, 5 minutes after perfusion started and immediately before the passage of the residual volume of the pump. For Group 1 (n = 22), occlusion measurements were carried out using the drop rate method and for Group 2 (n = 18), measurements were carried out using the auxiliary device and 300 mmHg calibration (mean pressure for the dynamic calibration method).
The auxiliary calibration device has shown calibration results statistically equal to those obtained with a reference device in the laboratory environment. We have found less variability of hemolysis rates in the operating room, using the auxiliary device and we did not observe any influence of unbalanced rollers in the hemolysis rates.
滚压泵常用于涉及体外循环的手术中,其调节可能会影响溶血率。
描述一种使用动态校准方法调节滚压泵的辅助装置,并展示其在手术过程中的初步应用结果。
该装置在实验室环境中使用手术中常用的三个一次性压力传感器进行测试。在手术室中,对两组患者进行了测试。在灌注开始5分钟后以及泵的残余容积通过之前立即测量血浆游离血红蛋白率。对于第1组(n = 22),使用滴速法进行闭塞测量,对于第2组(n = 18),使用辅助装置和300 mmHg校准(动态校准方法的平均压力)进行测量。
辅助校准装置在实验室环境中的校准结果在统计学上与使用参考装置获得的结果相同。我们发现在手术室中使用辅助装置时溶血率的变异性较小,并且未观察到不平衡滚轴对溶血率有任何影响。