• S B Horton, W W Butt, R J Mullaly, C A Thuys, E B O'Connor, K Byron, A D Cochrane, C P Brizard, and T R Karl.
• Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
• Ann. Thorac. Surg. 1999 Nov 1; 68 (5): 1751-5.

UnlabelledBACKGROUND.:Contact of blood with the surfaces of the cardiopulmonary bypass (CPB) circuit has been implicated as a cause of the inflammatory response. We undertook a prospective randomized trial of 200 pediatric patients, all with a calculated total bypass flow of less than 2.3 L/min (< 0.96 L/m2/min).MethodsPatients were randomly assigned to 1 of 4 CPB groups: (1) Nonheparin-bonded circuit with no albumin preprime; (2) Nonheparin-bonded circuit with albumin preprime; (3) Heparin-bonded circuit with no albumin preprime; (4) Heparin-bonded circuit with albumin preprime. Measurements of cytokines, (interleukin [IL]-6, IL-8) and blood cell counts were made prebypass and 6 and 24 hours after institution of cardiopulmonary bypass.ResultsAnalysis of variance showed no significant difference in any of the clinical or biochemical characteristics of the 4 groups. The interaction between heparin-bonded oxygenators and albumin preprime was not significant. No important differences in IL-6 or IL-8 concentrations were noted after CPB using either heparin or nonheparin-bonded oxygenators with albumin or albumin free preprime using two-way analysis of variance.ConclusionsAlbumin preprime and heparin-bonding do not attenuate the inflammatory response component attributable to the concentration of these markers.

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