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Hemolytic characteristics of three commercially available centrifugal blood pumps

Lawson, D Scott BS, CCP; Ing, Richard MB, BCh, FCA(SA); Cheifetz, Ira M. MD; Walczak, Rich BS, CCP; Craig, Damian MS; Schulman, Scott MD; Kern, Frank MD; Shearer, Ian R. BS, CCP; Lodge, Andrew MD; Jaggers, James MD

Pediatric Critical Care Medicine: September 2005 - Volume 6 - Issue 5 - p 573-577
doi: 10.1097/01.PCC.0000163282.63992.13
Laboratory Investigation

Objective: As compared with traditional extracorporeal roller-occlusion blood pumps, nonocclusive centrifugal pumps offer the benefits of requiring a smaller circuit surface area and, thus, a smaller prime volume. However, centrifugal blood pumps have been reported to generate unacceptable levels of hemolysis. We hypothesize that the newer generation centrifugal pumps have an incidence of hemolysis similar to the traditional roller head pumps and, thus, could be used for extracorporeal membrane oxygenation circuits.

Design: Randomized, prospective, bench study.

Setting: University research laboratory.

Interventions: Three centrifugal blood pumps (Cobe Revolution, Jostra Rotaflow, and Medtronic BioMedicus) were compared with a roller occlusion blood pump (Cobe Century). Hemolysis generation was examined during 6 hrs of continuous use. Two test runs per group were randomly performed on three consecutive days for a total of six test runs for each of the four pumps (n = 24).

Measurements and Main Results: Plasma free hemoglobin values were determined using a Spectra MaxPlus spectrophotometer. A normalized index of hemolysis was calculated to compare the individual trials. The Cobe Revolution and the Jostra Rotaflow compared favorably with the Cobe Century roller occlusion blood pump in the amount of hemolysis produced.

Conclusions: These data are encouraging for the development of a low-prime, mobile neonatal extracorporeal membrane oxygenation circuit using centrifugal pump technology.

From the Department of Perfusion Services (DSL, RW, IRS), Department of Anesthesiology (RI), Department of Anesthesiology and Pediatrics (SS, FK), Department of Pediatrics (IMC), and Department of Surgery (DC, AL, JJ), Duke University Health System, Durham, NC.

Supported, in part, by funding from Cobe Cardiovascular Inc., a Division of the Sorin Group, and by Jostra AG.

©2005The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies