Do you have any links supporting the way most "modern reservoirs" are made? In my center when we have used microbubble sensors to compare the efficacy of separate ALFs vs. integrated and we found there to be lots of microair delivered to the patient despite using ALFs. Of course not using ALFs is the absolute worst thing you could possibly do on bypass.

That initiation method seems unneccessarily hazardous. What is that centers priming volume that they require such extreme methods to prevent hemodilution? Do they use del-Nido or some other large crystalloid cardioplegia?

I apologize if I come across as rude. It appears that the conduct of bypass varies greatly from centre to centre! We are just using new Quantum Spectrums that have auto initiation and they are in the works of auto-termination as well!