Efficient Removal of Retained Intracardiac Air Utilizing Buoyancy

Retained intracardiac air has been an important issue in cardiac surgery. Although echo visualization has allowed detection of air and guided deairing procedures, adequate air removal is not always attained. Actually it has been attempted in each surgeon's manner without solid standard or evidence. Basically buoyancy is responsible for air retention as well as difficult deairing. This paper is aimed to present the author's current measures of deairing, which turn this property of air into efficient removal, as test bed for discussion on this long-standing but pending issue.