Increased oxygen pressure to improve the efficiency of membrane oxygenators. 1976

A A Lefemine, and M Lewis, and L Bertulli

Increased O2 pressure was used in a specially constructed oxygenator to test the concept of improved oxygen transfer with hyperbaria. Three membranes were tested: 5-mil Silastic, 1-mil copolymer, and 0.5-mil Teflon. Results are analyzed in terms of pressure, venous saturation, and flow. The 5-mil Silastic proved to be the most reliable and efficient at all levels of saturation and pressure. Oxygen transfers up to 100 cc/m2/min were recorded at lower venous saturations. Normal pCO2 differentials were maintained at atmospheric pressure but decreased as pressure increased. For the Silastic and copolymer membranes, peak efficiency for O2 transfer was at oxygen pressure 3 lb/in2, or 140 mmHg. This usually required a blood pressure of over 300 mmHg using an average blood layer of 0.5 mm. Changes of pressure were more critical than flow, although O2 transfer was found to increase up to flows of 1200 cc/min/m2. Pressure levels of 0-30 lb/in2 were tested. Teflon was most efficient at pressures of 10-15 lb/in2, and did not transfer CO2 in detectable amounts at these pressure levels. Plasma hemoglobin, WBC, and platelets were not seriously altered when studied over 4-hour periods at constant pressures.

UI MeSH Term Description Entries
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010107 Oxygenators, Membrane Devices in which blood and oxygen are separated by a semipermeable membrane, generally of Teflon or polypropylene, across which gas exchange occurs. The membrane may be arranged as a series of parallel plates or as a number of hollow fibers; in the latter arrangement, the blood may flow inside the fibers, which are surrounded by gas, or the blood may flow outside the fibers and the gas inside the fibers. (Dorland, 28th ed) Membrane Oxygenator,Membrane Oxygenators,Oxygenator, Membrane
D010539 Permeability Property of membranes and other structures to permit passage of light, heat, gases, liquids, metabolites, and mineral ions. Permeabilities
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012825 Silicon A trace element that constitutes about 27.6% of the earth's crust in the form of SILICON DIOXIDE. It does not occur free in nature. Silicon has the atomic symbol Si, atomic number 14, and atomic weight [28.084; 28.086]. Silicon-28,Silicon 28
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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