Open AccessAcute In Vivo Studies of the Pittsburgh Intravenous Membrane Oxygenator
Author(s) -
Mahender Macha,
William J. Federspiel,
Laura W. Lund,
P. Sawzik,
Philip Litwak,
Frank R. Walters,
Gary D. Reeder,
Harvey S. Borovetz,
Brack G. Hattler
Publication year - 1996
Publication title -
asaio journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/00002480-199609000-00060
Subject(s) - membrane oxygenator , balloon , medicine , inferior vena cava , jugular vein , anesthesia , oxygen , in vivo , materials science , biomedical engineering , chemistry , surgery , cardiopulmonary bypass , biology , organic chemistry , microbiology and biotechnology
The efficacy of an innovative intravenous membrane oxygenator (IMO) was tested acutely (6-8 hrs) in seven calves. The IMO prototypes consisted of a central polyurethane balloon within a bundle of hollow fibers with a membrane surface area of 0.14 m2. The IMO devices were inserted through the external jugular vein into the inferior vena cava of anesthetized calves (68.9 +/- 2.3 kg). Rhythmic balloon pulsation (60-120 bpm) was controlled with an intra-aortic balloon pump console. Oxygen sweep gas was delivered through the device at 3.0 L/min. Gas concentrations were monitored continuously by mass spectroscopy. The principal results were as follows: 1) oxygen and carbon dioxide exchange ranged from 125 to 150 ml/min/m2 and 150 to 200 ml/min/m2, respectively; 2) there was at least a 30-50% augmentation of gas exchange with balloon pulsation; 3) maximum exchange occurred with 60-90 bpm balloon pulsations; and 4) hemodynamic parameters remained unchanged. There were no device related complications, and the feasibility of insertion of the device by a cervical cut-down was established. These acute in vivo experiments show that the Pittsburgh IMO device can exchange oxygen and carbon dioxide gases in vivo at levels consistent with this current prototype design, and that intravenous balloon pulsation significantly enhances gas exchange without causing any end-organ damage.