The effect of flow and pressure on the intraoxygenator flow path of different contemporary oxygenators: an in vitro trial

R.H.J. Hendrix*, A.K.S. Yeung, Y.M. Ganushchak, P.W. Weerwind

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)

Abstract

Introduction:This study analyzed the effect of different flows and pressures on the intraoxygenator flow path in three contemporary oxygenators and its consequences for oxygen transfer efficiency.Methods:In an experimental setup, intraoxygenator flow path parameters were analyzed at post-oxygenator pressures of 150, 200, and 250 mm Hg and at flows ranging from 2 L/min to the oxygenators' maximum permitted flow, with and without pulsatility. The oxygen gradient and the oxygen transfer per minute and per 100 mL blood were calculated using previously collected clinical data and compared with the flow path parameters.Results:Increasing pressure did not affect the flow path parameters, whereas pulsatile flow led to significantly increased dynamic oxygenator blood volumes. Increased flow resulted in decreased values of the flow path parameters in all oxygenators, indicating increased flow through short pathways in the oxygenator. In parallel, oxygen transfer/100 mL blood decreased in all oxygenators (average 2.5 +/- 0.4 to 2.4 +/- 0.3 mL/dL, p > 0.001) and the oxygen gradient increased from 229 +/- 45 to 287 +/- 29 mm Hg, p > 0.001, indicating decreased oxygen transfer efficiency. Oxygen transfer/min increased (101 +/- 15 to 143 +/- 20 mL/min/m(2), p > 0.001), however, due to the increased flow through the oxygenator.Conclusion:Varying trans-membrane oxygenator pressures did not lead to changes in the intraoxygenator flow path, while an increased flow exhibited lower flow path parameters resulting in less efficient use of the gas exchange compartment. The latter was confirmed by a decrease in O-2 transfer efficiency during higher blood flows.
Original languageEnglish
Article number0267659119899883
Pages (from-to)658-663
Number of pages6
JournalPerfusion
Volume35
Issue number7
DOIs
Publication statusPublished - 1 Oct 2020

Keywords

  • deposits
  • flow path
  • oxygenator
  • oxygenator blood volume
  • oxygenator efficiency
  • DEPOSITS

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