Comparative Analysis Between Two Crystalloid Balanaced Electrolyte Priming Solution (plasmalyte-a And Sterofundin Iso) In Adult Patient Undergoing Cardioplulomnary Bypass In The Cardiac Surgery Mr. Maurya Akhalesh Sureshchand, Mr. Gupta Rajeev, Mr. Kumar Byas, Dr. Talwar Sachin Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi Online published on 7 December, 2019. Abstract Objective The use of optimal prime among repertoire of ideal solution for cardiopulmonary bypass is unsubstantiated. To compare two crystalloid balanced electrolyte solution is being studied to pave the way for improvement in the use or routine priming solution for CPB. Methdology Sixty patient of either age adult patients will be randomly divided into two groups A and B. In group A (n=30) priming of the CPB pump circuit will be done with Plasmalyte A. In group B (n=30) priming of the CPB pump circuit will be done with sterofundin ISO. All surgeries were conducted by using same surgical, anaesthetic and perfusion techniques. Intraoperative fluid and iconoic shifts were studied. Result There was no significant difference in group A & group B. The variables like lactate, blood glucose and pH are showing changes independently over the period of time in which group B is on lower side as these factors are showing adequacy of perfusion during procedure. Conclusion In our study we found that both balanced crystalloid solution are better whereas Sterofundin ISO it has advantages over the metabolizable anions, it also suggest that base deficit occured comparatively less in group B (Sterofundin ISO) it also maintained adequate calcium levels on bypass. Top Keywords Cardiopulmonary bypass (CPB), Priming solution, Plasmalyte A, Sterofundin ISO. Top |