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The use of modified ultra filtration (MUF) in neonatal and paediatric cardiopulmonary bypass has been well established and now forms part of the standard practice of care in these facilities.I would like to present a brief history,the benefits and non-benefits of using MUF and some of the current methods of MUE These include arterial to venous and veno-venous MUE The use of MUF in adult cardiopulmonary bypass is increasing and I would like to present some data supporting this.