Разработка устройства канюли для удаления газовой фракции в системах дренажа крови
https://doi.org/10.15825/1995-1191-2022-4-46-53
Аннотация
Разработка малотравматичных дренажных систем, работа которых направлена на максимально возможное разделение крови и воздуха, является актуальным направлением в современной медицине. Цель данной работы состояла в создании недорогой, удобной в пользовании и малотравматичной системы динамической аспирации крови. Система позволяет эффективно разделить кровь и воздух при заборе крови из раны в условиях вакуума, требуемого для аспирации крови. Принцип действия разработки заключается в разделении жидкой и газовой фракций смеси «кровь–воздух» за счет модификации канюли забора крови. Эффект достигается по технологии применения принципов центробежных сил вращающегося потока «кровь–воздух» в сочетании с подъемными архимедовыми силами.
Об авторах
А. П. КулешовРоссия
Кулешов Аркадий Павлович
123182, Москва, ул. Щукинская, д. 1
Тел. (915) 292-47-98
А. С. Бучнев
Россия
Москва
А. А. Дробышев
Россия
Москва
О. Ю. Есипова
Россия
Москва
Г. П. Иткин
Россия
Москва
Список литературы
1. Jones RE, Donald DE, Swan HJ, Harshbarger HG, Kirklin JW, Wood EH. Apparatus of the Gibbon type for mechanical bypass of the heart and lungs; preliminary report. Proc Staff Meet Mayo Clinic. 1955; 30: 105–113.
2. Miller BJ. Laboratory work preceding the first clinical application of cardiopulmonary bypass. Perfusion. 2003; 18: 145–154.
3. Hayashi Y, Kagisaki K, Yamaguchi T, Sakaguchi T, Naka Y, Sawa Y et al. Clinical application of vacuumassisted cardiopulmonary bypass with a pressure relief valve. Eur J Cardiothorac Surg. 2001; 20: 621–626.
4. Mazer CD, Whitlock RP, Fergusson DA, Hall J, BelleyCote E, Connolly K et al. Restrictive or liberal red-cell transfusion for cardiac surgery. N Engl J Med. 2017; 377: 2133–2144.
5. Vamvakas EC, Carven JH. Transfusion and postoperative pneumonia in coronary artery bypass graft surgery: effect of the length of storage of transfused red cells. Transfusion. 1999; 39: 701–710.
6. Karamlou T, Schultz JM, Silliman C, Sandquist C, You J, Shen I et al. Using a miniaturized circuit and an asanguineous prime to reduce neutrophil-mediated organ dysfunction following infant cardiopulmonary bypass. Ann Thorac Surg. 2005; 80: 6–13; discussion 13–14.
7. Vlaar AP, Juffermans NP. Transfusion-related acute lung injury: a clinical review. Lancet. 2013; 382: 984–994.
8. Taketani S, Sawa Y, Masai T, Ichikawa H, Kagisaki K, Yamaguchi T et al. A novel technique for cardiopulmonary bypass using vacuum system for venous drainage with pressure relief valve: an experimental study. Artif Organs. 1998; 22 (4): 337–341.
9. Chalegre ST, Salerno PR, Salerno LMVO, Melo ARS, Pinheiro AC, Frazão CS et al. Drenagem venosa assistida a vácuo na circulação extracorpórea e necessidade de hemotransfusão: experiência de serviço. Rev Bras Cir Cardiovasc. 2011; 26 (1): 122–127. 10. Zangrillo A, Garozzo FA, Biondi-Zoccai G, Pappalardo F, Monaco F, Crivellari M et al. Miniaturized cardiopulmonary bypass improves short-term outcome in cardiac surgery: a meta-analysis of randomized controlled studies. J Thorac Cardiovasc Surg. 2010; 139 (5): 1162–1169.
10. Nasso G, Costantini C, Petralia A, Del Prete A, Lopriore V, Fattouch K et al. A new extracorporeal vacuumassited device to optimize cardiopulmonary bypass. Comparison with the conventional system. Interact Cardiovasc Thorac Surg. 2011; 12 (4): 591–595.
11. Banbury MK, White JA, Blackstone EH, Cosgrove 3rd DM. Vacuum-assisted venous return reduces blood usage. J Thorac Cardiovasc Surg. 2003; 126 (3): 680–687.
12. Bevilacqua S, Matteucci S, Ferrarini M, Kacila M, Ripoli A, Baroni A et al. Biochemical evaluation of vacuumassisted venous drainage: a randomized, prospective study. Perfusion. 2002; 17 (1): 57–61.
13. Nakanishi K, Shichijo T, Shinkawa Y, Takeuchi S, Nakai M, Kato G et al. Usefulness of vacuum-assisted cardiopulmonary bypass circuit for pediatric open-heart surgery in reducing homologous blood transfusion. Eur J Cardiothorac Surg. 2001; 20 (2): 233–238.
14. Pappalardo F, Corno C, Franco A, Giardina, Scandroglio AM, Landoni G et al. Reduction of hemodilution in small adults undergoing open heart surgery: a prospective randomized trial. Perfusion. 2007; 22 (5): 317–322.
15. Willcox TW, Mitchell SJ, Gorman DF. Venous air in the bypass circuit: a source of arterial line emboli exacerbated by vacuum-assisted drainage. Ann Thorac Surg. 1999; 68: 1285–1289.
16. LaPietra A, Grossi EA, Pua BB, Esposito RA, Galloway AC, Derivaux CC et al. Assisted venous drainage presents the risk of undetected air microembolism. J Thorac Cardiovasc Surg. 2000; 120: 856–863.
17. Davila RM, Rawles T, Mack MJ. Venoarterial air embolus: a complication of vacuum-assisted venous drainage. Ann Thorac Surg. 2001; 71: 1369–1371.
18. Burch TM, Locke AQ. Air lock and embolism upon attempted initiation of cardiopulmonary bypass while using vacuum-assisted venous drainage. J Cardiothorac Vasc Anesth 2012; 26: 468–470.
19. Colangelo N, Torracca L, Lapenna E, Moriggia S, Crescenzi G, Alfieri O. Vacuum-assisted venous drainage in extrathoracic cardiopulmonary bypass management during minimally invasive cardiac surgery. Perfusion. 2006; 21 (6): 361–365.
20. Kiyama H, Imazeki T, Katayama Y, Murai N, Mukouyama M, Yamauti N. Vacuum-assisted venous drainage in single-access minimally invasive cardiac surgery. J Artif Organs. 2003; 6 (1): 20–24.
21. Murai N, Cho M, Okada S, Chiba T, Saito M, Shioguchi S et al. Venous drainage method for cardiopulmonary bypass in single-access minimally invasive cardiac surgery: siphon and vacuum-assisted drainage. J Artif Organs. 2005; 8 (2): 91–94.
22. Cirri S, Negri L, Babbini M, Latis G, Khlat B, Tarelli G et al. Haemolysis due to active venous drainage during cardiopulmonary bypass: comparison of two different techniques. Perfusion. 2001; 16 (4): 313–318.
23. Gregoretti S. Suction-induced hemolysis at various vacuum pressures: implications for intraoperative blood salvage. Transfusion. 1996; 36 (1): 57–60.
24. Lau CL, Posther KE, Stephenson GR, Lodge A, Lawson JH, Darling EM et al. Mini-circuit cardiopulmonary bypass with vacuum assisted venous drainage. Feasibility of an asanguineous prime in the neonate. Perfusion. 1999; 14 (5): 389–396.
Дополнительные файлы
Рецензия
Для цитирования:
Кулешов А.П., Бучнев А.С., Дробышев А.А., Есипова О.Ю., Иткин Г.П. Разработка устройства канюли для удаления газовой фракции в системах дренажа крови. Вестник трансплантологии и искусственных органов. 2022;24(4):46-53. https://doi.org/10.15825/1995-1191-2022-4-46-53
For citation:
Kuleshov A.P., Buchnev A.S., Drobyshev A.A., Esipova O.Yu., Itkin G.P. Development of a cannula device for gas fraction removal in surgical drains. Russian Journal of Transplantology and Artificial Organs. 2022;24(4):46-53. https://doi.org/10.15825/1995-1191-2022-4-46-53