학술논문

Wet-priming extracorporeal membrane oxygenation device maintains sterility for up to 35 days of follow-up.
Document Type
Article
Source
Perfusion. May2013, Vol. 28 Issue 3, p208-213. 6p. 3 Charts, 1 Graph.
Subject
*EXTRACORPOREAL membrane oxygenation
*STERILIZATION (Disinfection)
*CARDIOPULMONARY bypass
*MICROBIAL sensitivity tests
*TIME
*EARLY medical intervention
Language
ISSN
0267-6591
Abstract
In emergency cases, rapid extracorporeal membrane oxygenation (ECMO) device initialization is able to drastically reduce the incidence of patient morbidity and/or mortality. Pre-assembled and ready-to-use ECMO circuits might save up to 30-60 critical minutes in patient management.Six ECMO circuits (Oxygenator D905 EOS with REVOLUTION™ pump and Sorin PTS) were assembled in the operating room in standard conditions and then placed at 37°C for 35 days in order to evaluate possible contamination and ingrowth of micro-organisms. Every 7 days after ECMO circuit assembly and wet-priming, samples of priming fluid were analyzed to verify the presence/absence of possible common contaminants (Enterobacteriaceae, Staphylococcus aureus and fungi). Moreover, two supplementary circuits, used as positive controls, were deliberately inoculated with a known concentration of a Escherichia coli strain and prime samplings carried out at different time-points to determine bacterial growth rate.Sterility was maintained in the ECMO circuits for up to 35 days. [ABSTRACT FROM PUBLISHER]