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Methods of modified ultrafiltration in the surgical correction of transposition of the great arteries in newborns

[Surgery]
Nurlan Baizhigitov; Almas Ormantayev; Anar Sepbayeva;

Correction of congenital heart defects in newborns in the cardiopulmonary bypass is accompanied by volumetric fluid overload. To eliminate this pathological condition an ultrafiltration method is used. The article presents the correction analysis of the years 2012–2016 to 20 newborns with transposition of the great arteries with the use of two methods of ultrafiltration during cardiopulmonary bypass: I group (n=10) – ultrafiltration, II group (n=10) – modified ultrafiltration after cardiopulmonary bypass stop. The findings suggest that in the group which underwent a modified ultrafiltration, the inotropic support index, the need for blood transfusion in the immediate postoperative period, the patient’s time spent on mechanical ventilation was significantly lower than in the group of children which underwent ultrafiltration.

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Keywords: transposition of great arteries, ultrafiltration, modified ultrafiltration


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