Membrane and bubble oxygenators compared by preservation of myocardial function. 1979

A H Brown, and M A Hassan, and A B McMillan

Membrane oxygenators reputedly preserve erythrocytes, platelets, kidneys, brain and lungs better than bubble oxygenators; preservation of ventricular function by the two types of oxygenator is compared in isolated hearts, extremely sensitive to imperfections of perfusion, by isovolumic tests which are simple and accurate, especially for evaluating compliance. Canine hearts were perfused for three hours with either disposable bubble (Temptrol) or membrane (Lande-Edwards) oxygenators. Values at a standard point on regression slopes os isovolumic contractile force, velocity and compliance (volume) against end-diastolic pressure were used to express final functions as percentages of initial ones. Terminal proportional ventricular weight was an index of oedema. The final mean percentages with standard error measurements of initial values for the 12 hearts perfused on buble oxygenators and the 10 on membrane oxygenators were, respectively: 97 +/- 11.5% and 87 +/- 10.7% for contractile force, 117 +/- 23.1% and 88 +/- 10.44% for contractile velocity, and 97.2 +/- 8.48% and 117.3 +/- 12.5% for ventricular compliance, which was the function nearest to showing a significant difference with P less than 0.1. There was no significant difference in weights. This membrane oxygenator, as cheap and simple as conventional ones, probably has similar advantages for the myocardium as for other tissues.

UI MeSH Term Description Entries
D009200 Myocardial Contraction Contractile activity of the MYOCARDIUM. Heart Contractility,Inotropism, Cardiac,Cardiac Inotropism,Cardiac Inotropisms,Contractilities, Heart,Contractility, Heart,Contraction, Myocardial,Contractions, Myocardial,Heart Contractilities,Inotropisms, Cardiac,Myocardial Contractions
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D010106 Oxygenators Devices which mechanically oxygenate venous blood extracorporeally. They are used in combination with one or more pumps for maintaining circulation during open heart surgery and for assisting the circulation in patients seriously ill with some cardiac and pulmonary disorders. (UMDNS, 1999) Oxygenator
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
D001831 Body Temperature The measure of the level of heat of a human or animal. Organ Temperature,Body Temperatures,Organ Temperatures,Temperature, Body,Temperature, Organ,Temperatures, Body,Temperatures, Organ
D002306 Cardiac Volume The volume of the HEART, usually relating to the volume of BLOOD contained within it at various periods of the cardiac cycle. The amount of blood ejected from a ventricle at each beat is STROKE VOLUME. Heart Volume,Cardiac Volumes,Heart Volumes,Volume, Cardiac,Volume, Heart,Volumes, Cardiac,Volumes, Heart
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D004209 Disposable Equipment Apparatus, devices, or supplies intended for one-time or temporary use. Equipment, Disposable
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

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