Performance and Reliability of the CPB/ECMO Initiative Forward Lines Casualty Management System

@article{Casas2005PerformanceAR,
  title={Performance and Reliability of the CPB/ECMO Initiative Forward Lines Casualty Management System},
  author={Fernando Casas and Andrew Reeves and David M. Dudzinski and Stephan Weber and Markus Lorenz and Masatoshi Akiyama and Keiji Kamohara and Michael W. Kopcak and Yoshio Ootaki and Firas E Zahr and Martin G Sinkewich and Robert E. Foster and Kiyotaka Fukamachi and William A. Smith},
  journal={ASAIO Journal},
  year={2005},
  volume={51},
  pages={681-685}
}
The Cleveland Clinic Foundation CPB/ECMO Initiative Forward Casualty Management System is an economical, compact, transportable, disposable system designed to permit a rapid expansion of trauma management services requiring cardiopulmonary bypass (CPB) or extracorporeal membrane oxygenation (ECMO) pulmonary support. The system, composed of a rotary blood pump, a pump motor driver, and an electronic control console as the blood pumping subsystem, also includes commonly used compatible commercial… Expand
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References

SHOWING 1-10 OF 10 REFERENCES
A portable cardiopulmonary bypass/extracorporeal membrane oxygenation system for the induction and reversal of profound hypothermia: feasibility study in a Swine model of lethal injuries.
TLDR
It is demonstrated that the CCF CPB/ECMO system could be used to induce a period of profound hypothermic arrest for the repair of lethal traumatic injuries and the logistical advantages of this system make it an attractive choice for use in austere settings and during transport. Expand
Portable cardiopulmonary support (ECPS) in the emergency room
TLDR
It was not until the 19705 that ECPS became an evolving therapeuac opuon for treating medical emergencies and with the advent of more biocompatible tubing materials and improved membrane oxygenators prolonged extracorporeal cardiopulmonary support was shown to be feasible. Expand
Induced hypothermia during emergency department thoracotomy: an animal model.
TLDR
Induction of hypothermic arrest through the chest after exsanguination is possible and the further development of this technique may provide an extended state of "suspended animation" to allow for repairs of hemorrhaging injuries in trauma patients who require emergency department thoracotomy. Expand
The rate of induction of hypothermic arrest determines the outcome in a Swine model of lethal hemorrhage.
TLDR
Hypothermic metabolic arrest can be used to maintain viability of key organs during repair of lethal injuries and survival is influenced by the rate of cooling with the best outcome following rapid induction of hypothermia. Expand
Resuscitation from severe hemorrhage.
TLDR
Clinical potentials in need of research are shifting from normotensive to hypotensive (limited) fluid resuscitation with plasma substitutes, and animal outcome models of combined trauma and shock are needed; a challenge is to find a humane and clinically realistic long-term method for analgesia that does not interfere with cardiovascular responses. Expand
Suspended animation for delayed resuscitation.
'Suspended animation for delayed resuscitation' is a new concept for attempting resuscitation from cardiac arrest of patients who currently (totally or temporarily) cannot be resuscitated, such asExpand
Suspended animation for delayed resuscitation
‘Suspended animation for delayed resuscitation’ is a new concept for attempting resuscitation from cardiac arrest of patients who currently (totally or temporarily) cannot be resuscitated, such asExpand
Learning and memory is preserved after induced asanguineous hyperkalemic hypothermic arrest in a swine model of traumatic exsanguination.
TLDR
Induction of hypothermic metabolic arrest (by thoracotomy) for repair of complex traumatic injuries is feasible with preservation of normal neurologic function, even after extended periods of shock from an intra-abdominal source of uncontrolled hemorrhage. Expand
A Portable CPB/ECMO system for the induction and reversal of profound hypothermia: Feasibility study in a swine model of lethal injuries
  • Artif Organs
  • 2005
The New Weibull Handbook, 2nd ed
  • CPB
  • 1996