Poly-methyl pentene oxygenators have improved gas exchange capability and reduced transfusion requirements in adult extracorporeal membrane oxygenation

Espeed Khoshbin, Neil Roberts, Chris Harvey, David Machin, Hilliary Killer, Giles J. Peek, Andrzej W. Sosnowski, Richard K. Firmin

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

The performance of poly-methyl pentene (PMP) oxygenators (Medos Hilite 7000LT) was compared with that of silicone membrane (SM) oxygenators (Medtronic 1-4500-2A) for adult extracorporeal membrane oxygenation (ECMO). Forty consecutive patients were selected retrospectively pre- and post-introduction of PMP oxygenators. They were selected according to the dates they received ECMO and were separated into two equal groups with similar backgrounds. The flow path resistance, gas and heat exchange efficiency, consumption of coagulation factors and platelets, blood transfusion requirements, and incidence of clots for each oxygenator type was assessed. Adult PMP oxygenators showed lower blood path resistance than SM oxygenators. However, lower consumption of blood products in these oxygenators was a direct result of their smaller surface area and heparin coated design, reducing contact activation of coagulation factors. These oxygenators are noticeably smaller, require lower priming volumes, and have better gas exchange capability than SM oxygenators. They showed greater stability and preservation of coagulation factors and platelets compared with SM oxygenators. They also had the advantage of a functioning integrated heat exchanger. Using a single PMP oxygenator in the first instance may be adequate for the majority of patients and would significantly reduce red blood cell consumption during ECMO.

Original languageEnglish (US)
Pages (from-to)281-287
Number of pages7
JournalASAIO Journal
Volume51
Issue number3
DOIs
StatePublished - May 2005
Externally publishedYes

Fingerprint

Oxygenators
Extracorporeal Membrane Oxygenation
Oxygenation
Alkenes
Membrane Oxygenators
Gases
Membranes
Silicones
Blood Coagulation Factors
Blood
Coagulation
Hot Temperature
Platelets
Platelet Transfusion
Heparin
Blood Platelets
Erythrocytes
Heat exchangers
Incidence

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering

Cite this

Poly-methyl pentene oxygenators have improved gas exchange capability and reduced transfusion requirements in adult extracorporeal membrane oxygenation. / Khoshbin, Espeed; Roberts, Neil; Harvey, Chris; Machin, David; Killer, Hilliary; Peek, Giles J.; Sosnowski, Andrzej W.; Firmin, Richard K.

In: ASAIO Journal, Vol. 51, No. 3, 05.2005, p. 281-287.

Research output: Contribution to journalArticle

Khoshbin, Espeed ; Roberts, Neil ; Harvey, Chris ; Machin, David ; Killer, Hilliary ; Peek, Giles J. ; Sosnowski, Andrzej W. ; Firmin, Richard K. / Poly-methyl pentene oxygenators have improved gas exchange capability and reduced transfusion requirements in adult extracorporeal membrane oxygenation. In: ASAIO Journal. 2005 ; Vol. 51, No. 3. pp. 281-287.
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