35 research outputs found

    Hemodynamic and recirculation performance of dual lumen cannulas for venovenous extracorporeal membrane oxygenation

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    Abstract Venovenous extracorporeal membrane oxygenation (ECMO) can be performed with two single lumen cannulas (SLCs) or one dual-lumen cannula (DLC) where low recirculation fraction ( Rf{R}_{f} R f ) is a key performance criterion. DLCs are widely believed to have lower Rf{R}_{f} R f , though these have not been directly compared. Similarly, correct positioning is considered critical although its impact is unclear. We aimed to compare two common bi-caval DLC designs and quantify Rf{\mathrm{R}}_{\mathrm{f}} R f in several positions. Two different commercially available DLCs were sectioned, measured, reconstructed, scaled to 27Fr and simulated in our previously published patient-averaged computational model of the right atrium (RA) and venae cavae at 2–6 L/min. One DLC was then used to simulate ± 30° and ± 60° rotation and ± 4 cm insertion depth. Both designs had low Rf{R}_{f} R f ( 413 Pa) and RA (> 52 Pa) even at low flow rates. Caval pressures were abnormally high (16.2–23.9 mmHg) at low flow rates. Rotation did not significantly impact Rf{R}_{f} R f . Short insertion depth increased Rf{R}_{f} R f (> 31%) for all flow rates whilst long insertion only increased Rf{R}_{f} R f at 6 L/min (24%). Our results show that DLCs have lower Rf{R}_{f} R f compared to SLCs at moderate-high flow rates (> 4 L/min), but high shear stresses. Obstruction from DLCs increases caval pressures at low flow rates, a potential reason for increased intracranial hemorrhages. Cannula rotation does not impact Rf{R}_{f} R f though correct insertion depth is critical

    Electrochemical Evaluation of the Compatibility of Fresh and Aged NovecTM 71IPA with Beryllium, Stainless Uranium, 304L Stainless Steel, and 2024-T3 Aluminum Alloy

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    This study was a material compatibility assessment of four metals (beryllium, stainless uranium, 304L stainless steel, and 2024-T3 aluminum) with an environmentally benign, non-aqueous, near-azeotropic mixture of hydrofluoroether (Novec™ 7100) with 4.5 wt% isopropanol designated Novec™ 71IPA. The intent is to use the Novec™ 71IPA to clean materials in sensitive, long-term assemblies. There is concern when an aged solvent is used to clean a metal surface, it may cause corrosion due to fluoride formation as the solvent ages. Two solvent conditions, one having no detectable fluoride (fresh) and the other with ≥17 ppm fluoride (aged) were evaluated. Electrochemical evaluations using impedance spectroscopy were performed to monitor the metal surfaces for signs of reaction. Microscopic and spectroscopic techniques, including X-ray photoelectron spectroscopy, were used to characterize the metal surfaces before and after electrochemical tests. Increased impedance was observed when beryllium substrates were exposed to fresh or aged Novec™ 71IPA and was attributed to formation of organic and/or inorganic films on native beryllium oxide. Other metals exhibited insignificant changes in impedance but did show some passive film formation. Results confirmed Novec™ 71IPA, containing up to 17 ppm fluoride, had no corrosive effect on the four tested metals and may be used to safely clean them
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