Do you have an idea for a Workshop, Problem-Based Learning Discussion (PBLD) or Expert Round Table Discussion that would benefit the Congenital Cardiac Anesthesia Society (CCAS) membership? If so, … [Read More...]
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CCAS is a society organized within the Society for Pediatric Anesthesia. The CCAS concept originated with cardiac anesthesia directors and other key leaders at major congenital heart disease programs, who believed there was a need for a new society because of rapid advancement of highly specialized knowledge in the field, and a great increase in the numbers of patients, including adults with congenital heart disease.
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Question of the Week
A 14-year-old female with a history of ANCA-associated vasculitis, end-stage renal disease requiring dialysis, and severe left ventricular dilation is undergoing left ventricular assist device (LVAD) implantation. Cardiopulmonary bypass (CPB) is initiated uneventfully, and the patient is maintained normothermic with no use of aortic cross-clamp or cardioplegia. During CPB, her serum potassium level is noted to rise to 6.5 mEq/L. Given the risk of worsening hyperkalemia following transfusion of red blood cells, which of the following intraoperative ultrafiltration strategies is most appropriate to manage her electrolytes prior to separation from CPB?
A. Zero-balance ultrafiltration (ZBUF)
B. Modified ultrafiltration (MUF)
C. Conventional ultrafiltration (CUF)
