Novel Choices of Cannula for Blood Delivery via Femoral Artery in Pediatric Patients

Author:

Yamamoto Tomohiro1ORCID,Saito Takeshi2ORCID,Shiraishi Shuichi3,Asfour Boulos4ORCID,Hraska Victor5ORCID,Schindler Ehrenfried6ORCID

Affiliation:

1. Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

2. Department of Clinical Engineering, Niigata University Medical and Dental Hospital, Niigata, Japan

3. Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan

4. Department of Pediatric Cardiac Surgery, University Hospital Bonn, Bonn, Germany

5. Department of Pediatric Cardiothoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, United States

6. Department of Pediatric Anesthesiology, University Hospital Bonn, Bonn, Germany

Abstract

AbstractWe previously presented a cardiopulmonary bypass (CPB) method with blood delivery via femoral artery cannulation for pediatric aortic arch repair operations using the Radifocus Introducer sheath. However, the flow rate with the Radifocus Introducer sheath is limited by accessory parts with the same structure having a smaller inner diameter among different sizes, rather than the sheath body. Therefore, we further devised a combination of the JELCO IV catheter, an extension tube, and a three-way stopcock with a larger opening to obtain more flow rate keeping the CPB circuit pressure significantly lower than when using the Radifocus Introducer sheath successfully.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery

Reference5 articles.

1. Cardiopulmonary bypass method with blood delivery via femoral artery cannulation for pediatric aortic arch repair;T Yamamoto;Paediatr Anaesth,2019

2. The effect of IV cannula length on the rate of infusion;N V Jayanthi;Injury,2006

3. Catheter replacement of the needle in percutaneous arteriography: a new technique;S I Seldinger;Acta Radiol,1953

4. Ultrasound for vascular access in pediatric patients;E Schindler;Paediatr Anaesth,2012

5. Viscosity of normal human blood under normothermic and hypothermic conditions;P W Rand;J Appl Physiol,1964

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