Novel Size-Variable Dedicated Rodent Oxygenator for ECLS Animal Models-Introduction of the "RatOx" Oxygenator and Preliminary In Vitro Results.

The overall survival rate of extracorporeal life support (ECLS) remains at 60%. Research and development has been slow, in part due to the lack of sophisticated experimental models. This publication introduces a dedicated rodent oxygenator ("RatOx") and presents preliminary in vitro classification tests. The RatOx has an adaptable fiber module size for various rodent models. Gas transfer performances over the fiber module for different blood flows and fiber module sizes were tested according to DIN EN ISO 7199. At the maximum possible amount of effective fiber surface area and a blood flow of 100 mL/min, the oxygenator performance was tested to a maximum of 6.27 mL O2/min and 8.2 mL CO2/min, respectively. The priming volume for the largest fiber module is 5.4 mL, while the smallest possible configuration with a single fiber mat layer has a priming volume of 1.1 mL. The novel RatOx ECLS system has been evaluated in vitro and has demonstrated a high degree of compliance with all pre-defined functional criteria for rodent-sized animal models. We intend for the RatOx to become a standard testing platform for scientific studies on ECLS therapy and technology.

Trends, Advantages and Disadvantages in Combined Extracorporeal Lung and Kidney Support From a Technical Point of View.

Extracorporeal membrane oxygenation (ECMO) provides pulmonary and/or cardiac support for critically ill patients. Due to their diseases, they are at high risk of developing acute kidney injury. In that case, continuous renal replacement therapy (CRRT) is applied to provide renal support and fluid management. The ECMO and CRRT circuits can be combined by an integrated or parallel approach. So far, all methods used for combined extracorporeal lung and kidney support present serious drawbacks. This includes not only high risks of circuit related complications such as bleeding, thrombus formation, and hemolysis, but also increase in technical workload and health care costs. In this sense, the development of a novel optimized artificial lung device with integrated renal support could offer important treatment benefits. Therefore, we conducted a review to provide technical background on existing techniques for extracorporeal lung and kidney support and give insight on important aspects to be addressed in the development of this novel highly integrated artificial lung device.

Influence of Molecular Weight on the Performance of Polyelectrolyte Multilayer Nanofiltration Membranes.

Polyelectrolyte multilayers (PEMs) are highly promising selective layers for membrane applications, especially because of their versatility. By careful choice of the types of polyelectrolyte and the coating conditions, the PEM material properties can be controlled to achieve desired separations. Less understood, however, is how the molecular weight (Mw) of the chosen polyelectrolytes (PEs) will impact layer build-up and thus separation properties. In this work, we investigate the influence of Mw on the performance of two types of PEM-based membranes. PEM membranes have been fabricated from low (15-20 kDa) and high (150-250 kDa) Mw poly(allylamine hydrochloride) (PAH), poly(sodium-4-styrenesulfonate)(PSS), and poly(acrylic acid) (PAA) to obtain PAH/PSS- and PAH/PAA-based nanofiltration membranes. For the linear growing PSS/PAH system, with low PE mobility, the Mw is found to influence the pore closure of the support membrane during coating but not its subsequent performance. In contrast, for the exponentially growing PAH/PAA system with a high PE mobility, much stronger effects of Mw are observed. For low-Mw PAH/PAA PEM membranes, separation properties are found that would be expected of a negatively charged separation layer, while for high-Mw PAH/PAA PEMs a positive separation layer is found. Moreover, molecular weight cutoff (MWCO) measurements show that the low-Mw PAH/PAA multilayers are much denser than their high-Mw counterparts. Here the higher mobility of the small PE chains is expected to lead to more optimal binding between the oppositely charged PEs, explaining the denser structure. Lastly, we find that PEM pH stability is lowest for low-Mw PAH/PAA multilayers which can again be attributed to their higher mobility. Clearly, the Mw can significantly influence the separation performance of PEM-based membranes, especially for more mobile PEM systems such as PAA/PAH.

Antifungal activity of fluconazole-loaded natural rubber latex against Candida albicans.

AIM: This work aimed to produce a membrane based on fluconazole-loaded natural rubber latex (NRL), and study their interaction, drug release and antifungal susceptibility against Candida albicans. MATERIALS & METHODS: Fluconazole-loaded NRL membrane was obtained by casting method. RESULTS: The Fourier Transform Infrared Spectroscopy showed no modifications either in NRL or fluconazole after the incorporation. Mechanical test presented low Young's modulus and high strain, indicating the membranes have sufficient elasticity for biomedical application. The bio-membrane was able to release the drug and inhibit the growth of C. albicans as demonstrated by disk diffusion and macrodilution assays. CONCLUSION: The biomembrane was able to release fluconazole and inhibit the growth of C. albicans, representing a promising biomaterial for skin application.