Cardiac surgery is evolving to focus on survival rates and enhanced recovery through Enhanced Recovery After Cardiac Surgery (ERACS) programs. Perfusion strategies during cardiopulmonary bypass (CPB) are pivotal in achieving these goals. An insightful article was posted in the Journal of Extracorporeal Technology, exploring the effectiveness of Hematic Antegrade Repriming (HAR) in reducing hemodilution priming and…
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Great article. We have been doing HAR for years but have called it RAP 2.0 (coined by one of our perfusion students). Incorporates RAP (retrograde autologous prime) of the arterial line, filling the reservoir with the patient’s blood and then pumping excess crystalloid in an antegrade fashion to remove the clear prime fluid. We have also had great success with this technique.
Thank you for your feedback!