Spallation performance of extracorporeal membrane oxygenation tubing

Giles J. Peek, Andrew Thompson, Hilliary M. Killer, Richard K. Firmin

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

During the prolonged roller pump use of extrcorporeal membrane oxygenation (ECMO), tubing wear generates spallation. The spallation performance of Tygon® S-65-HL was measured and compared with a potential new ECMO tubing, LVA (Portex 800-500-575). Spallation was measured by on-line laser diode particle counting (HIAC) during simulated ECMO. The effects of differing levels of occlusion and pump speed were examined, as was the effect of spallation over time. The spallation produced by Tygon S-65-HL was less than that seen with LVA during 24h of simulated ECMO (p < 0.001), and after 72 h had fallen almost to zero. Spallation with Tygon tubing increases with increasing pump speed and decreases over time. There appears to be only a weak correlation with occlusion, which is surprising. The spallation performance of Tygon S-65-HL was variable and under some conditions exceeded that of LVA. Overall, however, Tygon S-65-HL produced less spallation than LVA. Therefore, LVA cannot be recommended for clinical ECMO use.

Original languageEnglish (US)
Pages (from-to)457-466
Number of pages10
JournalPerfusion
Volume15
Issue number5
DOIs
StatePublished - 2000

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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    Peek, G. J., Thompson, A., Killer, H. M., & Firmin, R. K. (2000). Spallation performance of extracorporeal membrane oxygenation tubing. Perfusion, 15(5), 457-466. https://doi.org/10.1177/026765910001500509