Con: Colloids should not be added to the pump prime |
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| Institution: | 1. Sericultural & Agri-Food Research Institute Guangdong Academy of Agricultural Sciences/Key Laboratory of Functional Foods, Ministry of Agriculture and Rural Affairs/Guangdong Key Laboratory of Agricultural Products Processing, Guangzhou 510610, PR China;2. College of Chemistry and Materials Science, Hubei Engineering University, Xiaogan 432000, PR China;1. Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Upper Mayuanlin Road 238, Changsha, Hunan, China;2. Division of Prevention and Community Research, Department of Psychiatry, Yale School of Medicine, 389 Whitney Avenue, New Haven, CT, USA;3. The Affiliated Hainan Hospital, Hainan Medical University, 31 Longhua Road, Longhua District, Haikou City, Hainan, China |
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| Abstract: | It is concluded that there is good scientific basis for an approach that avoids colloid priming solutions as routine for all adult CPB patients. There may be selected individual who might benefit from colloid therapy; for instance, patients who are predicted to require high left atrial pressure postbypass, those who are borderline for getting through their surgical experience without a homologous red cell transfusion, and patients coming for surgery with a clinically important lung water elevation. In this time of cost constraints there are many more scientifically worthy therapies that could be made available to patients. We should focus on these and resist “luxury items” like routine colloid CPB priming solutions. |
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