Table 1.
Comparison between the modified Buckberg cardioplegia solution (CPS) and del Nido CPS.1*
| Modified Buckberg CPS | del Nido CPS | ||
|---|---|---|---|
| Base solution | Induction | D5 ¼ NS 392 mL | Plasma-Lyte A 1000 mL |
| Maintenance | D5 ¼ NS 798 mL | ||
| Reperfusion | Sterile water 235mL | ||
| Total volume (approximate) | Induction | 500 mL | 1100 mL |
| Maintenance | 1000 mL | ||
| Reperfusion | 500 mL | ||
| KCL | Induction | 36 mEq/500 mL | 26 mEq |
| Maintenance | 36 mEq/L | ||
| Reperfusion | 15 mEq/500 mL | ||
| Tromethamine .3 M | Induction | 60 mL/500 mL | None |
| Maintenance | 123 mL/L | ||
| Reperfusion | 56 mL/500 mL | ||
| C-P-2-D | Induction | 30 mL/500 | None |
| Maintenance | 61 mL/L | ||
| Reperfusion | 113 mL/L | ||
| NaHCO3 | None | 13 mEq | |
| Mannitol 20% | None | 16 mL | |
| Magnesium sulfate 50% | None | 4 mL | |
| Lidocaine 2% (preservative-free) | None | 6.5 mL | |
| Additional | Dextrose 70% | 26 mL/500 mL | N/A |
| Additives in reperfusion CPS | Glutamate/aspartate | 62.5 mL/500 mL | |
| Blood:crystalloid | 4:1 | 1:4 | |
| Delivery methods | Antegrade | Antegrade (primarily) | |
| Retrograde | Coronary ostia | ||
| Coronary ostia | Retrograde | ||
| Storage | Refrigeration | Refrigeration | |
*
Source: Modified Buckberg cardioplegia compounded at Central Admixture Pharmacy Services (CAPS); del Nido compounded in Cleveland Clinic Foundation Pharmacy. Both CPS bags are latex-free.
N/A, not applicable.