Bivalirudin cardiopulmonary bypass
WebThe various options mentioned in the literature call for changes in the routine practice of open heart surgery on cardiopulmonary bypass. These changes involve mostly the … WebCurrently, bivalirudin in cardiac surgery with cardiopulmonary bypass has a limited clinical spectrum, likely because the still obvious advantages of its competitor, heparin, outweigh it in terms ...
Bivalirudin cardiopulmonary bypass
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WebMay 9, 2012 · Bivalirudin has been proposed as the sole anticoagulant in patients under extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass. Owing to the pharmacodynamic properties of ... Webwe used heparin for cardiopulmonary bypass (CPB) anticoagulation. The baseline celite ACT was 123 seconds and after a heparin dose of 42,000 U (600 U/kg) the celite ACT was 660 seconds. On CPB, in addition to 10,000 U of heparin in the pump FiguRe 1: Heparin concentration. FiguRe 2: Activated clotting time (ACT).
WebBackground. Despite high-dose heparin anticoagulation, cardiopulmonary bypass (CPB) is still associated with marked hemostatic activation. The purpose of this study was to determine whether a reduced dose of bivalirudin, added as an adjunct to heparin, would reduce thrombin generation and circulating markers of inflammatory system activation … WebResults awaiting publication from a trial of bivalirudin at our institution for cardiopulmonary bypass cases demonstrate equal or less chest tube drainage and blood utilization than standard heparin anticoagulation for cardiac surgery. Bivalirudin has a plasma half-life of 25 min , which is substantially shorter than argatroban, and a unique ...
WebAlthough the reported clinical experience with bivalirudin in cardiac surgery is reviewed, operative techniques for the perfusionist/surgeon team are discussed in detail. We recognize that the use of bivalirudin during cardiopulmonary bypass is evolving and modifications of technique will undoubtedly occur as further data and experience accumulate. WebBACKGROUND: The coronary artery bypass grafting (CABG) heparin-induced thrombocytopenia thrombosis syndrome (HITTS) on- and off-pump safety and efficacy …
WebThe literature on bivalirudin use in children is sparse with case reports of its use during cardiopulmonary bypass, 15 in patients with HIT 16 and in a case series of patients who failed ...
WebThe hypothesis that dabigatran would provide sufficient anticoagulation for cardiopulmonary bypass was tested in a first-use, proof-of-concept study using a rabbit model of cardiopulmonary bypass that included a comparison group receiving heparin. The dabigatran loading dose and maintenance infusions were designed after first … biochemistry courses neededWebObjectives: Unfractionated heparin and its antidote, protamine sulfate, allow for rapid and reversible anticoagulation during cardiac surgery with cardiopulmonary bypass, yet limitations exist, including a variable dose-response, dependence on a cofactor for anticoagulant effect, and antigenic potential. This trial was performed to evaluate the … dagger and chalice graphicWebNational Center for Biotechnology Information dagger assisted injectionWebHeparin is used to provide anticoagulation during cardiopulmonary bypass, but it has disadvantages including potential development of antiplatelet factor 4/heparin antibodies. A recommended alternative to heparin, bivalirudin, has its own disadvantages including the lack of a reversal agent. Dabigatran may be a better alternative in patients ... dagger belonging to bogarde crosswordWebA total of 21 adult patients received bivalirudin with infusion rates ranging from 0.028 to 0.2 mg/kg/h with or without initial bolus doses. 10 This wide variability in dosing requirements was also observed in our present analysis with maintenance rates achieving target aPTT ranges of 0.04 to 0.26 mg/kg/h. dagger and sheathWebApr 6, 2024 · It is in the direct thrombin inhibitor class of drugs. This activity reviews the indications, action, and contraindications for bivalirudin as a valuable agent in the … dagger 390 crossbow reviewWebJun 19, 2024 · On-pump:Initial bolus: 1 mg/kg, followed by continuous infusion 2.5 mg/kg/hour; 50 mg bolus added to priming solution of cardiopulmonary bypass (CPB) circuit. Additional boluses of 0.1 to 0.5 mg/kg may … biochemistry course ucf