Isaac Chinnappan, chief of the pediatric perfusion division at Johns Hopkins Children’s Center, discusses his presentation at the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery on the quest for the perfect cardiopulmonary bypass (CPB) prime. Understanding of CPB prime in neonates and infants is needed since they are more prone to complications. During this presentation, Chinnappan highlighted the specific quantifications of the perfect CPB prime.
Dear friends. I'm Isaac Chien, Chief Division of Pediatric Profusion at the prestigious Johns Hopkins Children's Center. As many of you are aware that the eighth World Congress of Pediatric Cardiology and cardiac surgery was held recently at Washington DC. I am delighted to inform you that I was one of the invited faculty to speak in the proficient track of the World Congress scientific meeting. It was a professional honor indeed to represent John Arkin Children's Center. The title of my talk was the quest for the perfect CPD price, cardio cordry bypass intervention results in alterations of fluid dynamics in neonates and infants. Periodic. Indeed are progressive evolving sites. Advancements in CPP and perfusion techniques are focused on neonatal infant surgery into mainstream stand of care. Priming refers to the fluids that we use in cardy by the fluids further classified into blood products and biochemical solutions. The priming of cardio Pulmy bypass is of particular importance in pediatric cardiac surgery. The composition of the priming solution determines the composition of the circulating fluid. The existence of extensive variations in protocols and preferences results in a wide variation in clinical practice ne units and infants are more inclined to bypass related complications during bypass. The physiological and biochemical variables of various fluids have specific roles in achieving Adey of perfusion. The choice of priming solution is one of the many factors that can influence bleeding, acid based imbalance edema and patient outcomes. There is a need for a more comprehensive understanding of the implications of C PV prime in the subset of patient population. Clinical applications of C PV and pediatrics are multifactorial that include specifications of various biomarkers, therapeutic balance and justification of quality indicators. With reference to evidence based medicine decisions regarding the strategies to optimize the quest for the perfect CPP prime must be based on the combined interpretation of fluid related physiological and biochemical factors and oxygenation parameters. The physiological and biochemical variables have specific roles in achieving the adequacy of profusion to record a bul bypass. The aim of my talk was to provide an algorithmic quantification of prime and pert composition to regulate physiological variables during card bypass in units and in plants. My presentation was also focused on reviewing the importance of priming composition, hemic and non hemic related physiological variables and the role on facilitating an optimized and rationalized conduct of a bypass. My talk emphasized double quantified specifics. It was a great opportunity to share and learn from the expertise of my fellow Confucian from all over the world.