Early cerebral functional outcome after coronary artery bypass surgery using different acid-base management during hypothermic cardiopulmonary bypass

Acta Anaesthesiologica Scandinavica

Volumn 40, Issue 4, 1996, Pages 457-465

  Engelhardt, W ^a   Dierks, T ^a   Pause, M ^a   Hartung, E ^a  

^a UNIVERSITY OF WÜRZBURG   (Germany)

Author keywords

Acid base balance; Alpha stat; Brain function; Coronary artery bypass grafting; Electroencephalogram; Hypothermic cardiopulmonary bypass; Neurological examination; Neuropsychological tests; P300 potential; pH stat; Temperature correction

Indexed keywords

CARBON DIOXIDE;

ACID BASE BALANCE; ADULT; AGED; ARTICLE; BLOOD GAS ANALYSIS; BRAIN FUNCTION; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; DOUBLE BLIND PROCEDURE; ELECTROENCEPHALOGRAM; FEMALE; HUMAN; HYPOTHERMIA; MALE; NEUROPSYCHOLOGICAL TEST; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TEMPERATURE;

EID: 0029968867     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.1996.tb04469.x     Document Type: Article

References (29)

1. Breuer AC, Furlan AJ, Hanson MR. Central nervous system complications of coronary artery bypass graft surgery: a prospective analysis of 421 patients. Stroke 1983: 14: 682-687.
2. Shaw PJ, Bates D, Cartlige NEF, Heaviside D, Julian DG, Shaw DA. Early neurological complications of coronary artery bypass surgery. Br Med J 1985: 291: 1384-1386.
3. 2. Anesth Analg 1987: 66: 825-832.
4. Reeves RB. An imidazole alphastat hypothesis for vertebrate acid-base regulation. Tissue carbon dioxide content and body temperature in bullfrogs. Respir Physiol 1972: 14: 219-236.
5. Prough DS, Stump DA, Roy RC, Gravlee GP, Williams T, Mills SA, et al. Response of cerebral blood flow to changes in carbon dioxide tension during hypothermic cardiopulmonary bypass. Anesthesiology 1986: 64: 576-581.
6. Gravlee GP, Roy RC, Stump DA, Hudspeth AS, Rogers AT, Prough DS. Regional cerebrovascular reactivity to carbon dioxide during cardiopulmonary bypass in patients with cerebrovascular disease. J Thorac Cardiovasc Surg 1990: 99: 1022-1029.
7. Stephan H, Weyland A, Kazmaier S, Henze T, Menck S, Sonntag H. Acid-base management during hypothermic cardiopulmonary bypass does not affect cerebral metabolism but does affect blood flow and neurological outcome. Br J Anaesth 1992: 69: 51-57.
8. Patel RL, Turtle MRJ, Chambers DJ, Newman S, Venn GE. Hyperperfusion and cerebral dysfunction. Effect of differing acid-base management during cardiopulmonary bypass. Eur J Cardio-thorac Surg 1993: 7: 457-463.
9. Dietrich W, Spannagl M, Jochum M, Wendt P, Schramm W, Barankay A, et al. Influence of high-dose aprotinin treatment on blood loss and coagulation patterns in patients undergoing myocardial revascularization. Anesthesiology 1990: 73: 1119-1126.
10. Buckberg GD. Oxygenated cardioplegia: Blood is a many splendored thing (editorial). Ann Thorac Surg 1990: 50: 175-177.
11. Stockard JJ, Bickford RG, Schauble JF. Pressure-dependent cerebral ischemia during cardiopulmonary bypass. Neurology 1973: 23: 521-529.
12. Erzigkeit H. The development of the SKT project. In: Hindmarch I, Hippius H, Wilcock GK, eds. Dementia: Molecules, methods and measures. Chichester: John Wiley & Sons, 1991: 101-108.
13. Lehrl S. Mehrfachwahl-Wortschatz-Intelligenztest MWT-B. Erlangen: Perimed-Verlag, 1976.
14. Brickenkamp R. Test d2, Aufmerksamkeitsbelastungstest - Handanweisung. Göttingen: Hogrefe, 1978.
15. Engelhardt W, Dierks T, Pause M, Sold M, Hartung E, Silber R. P300-mapping - a neurophysiological tool to quantify cerebral dysfunction after coronary artery bypass grafting. Eur J Cardio-thorac Surg 1995: 9: 12-17.
16. Oken HS, Chiappa KH. Statistical issues concerning computerized analysis of brainwave topography. Ann Neurol 1986: 19: 493-494.
17. Duffy FH, Bartels PH, Neff R. A response to Oken and Chiappa. Ann Neurol 1986: 19: 494-496.
18. Bashein G, Townes BD, Nessly ML, Bledsoe SW, Hornbein TF, Davis KB, et al. A randomized study of carbon dioxide management during hypothermic cardiopulmonary bypass. Anesthesiology 1990: 72: 7-15.
19. Blauth CI, Smith PL, Arnold JV, Jagoe JR, Wooton R, Taylor KM. Influence of oxygenator type on the prevalence and extent of microembolic retinal ischemia during cardiopulmonary bypass - Assessment by digital image analysis. J Thorac Cardiovasc Surg 1990: 99: 61-69.
20. Padayachee TS, Parsons S, Theobald R. The effect of arterial filtration on reduction of gaseous microemboli in the middle cerebral artery during cardiopulmonary bypass. Ann Thorac Surg 1988: 45: 647-649.
21. Henriksen L, Hjelms E, Lindeburgh T. Brain hyperperfusion during cardiac operations. J Thorac Cardiovasc Surg 1983: 86: 202-209.
22. Johnsson P, Messeter K, Ryding E, Kugelberg J, Stahl E. Cerebral vasoreactivity to carbon dioxide during cardiopulmonary perfusion at normothermia and hypothermia. Ann Thorac Surg 1989: 48: 769-775.
23. Venn GE, Sherry K, Klinger L, Newman S, Harrison M, Ell PJ, et al. Cerebral blood flow determinants and their clinical implications during cardiopulmonary bypass. Perfusion 1988: 3: 271-280.
24. Jonas RA, Bellinger DC, Rappaport LA, Wernovsky G, Hickey PR, Farrell DM, et al. Relation of pH strategy and developmental outcome after hypothermic circulatory arrest. J Thorac Cardiovasc Surg 1993: 106: 362-368.
25. Nussmeier NA, Arlund C, Slogoff S. Neuropsychiatric complications after cardiopulmonary bypass: Cerebral protection by a barbiturate. Anesthesiology 1986: 64: 165-170.
26. Zaidan JR, Klochany A, Martin WM, Ziegler JS, Harless DM, Andrews RB. Effect of thiopental on neurologic outcome following coronary artery bypass grafting. Anesthesiology 1991: 74: 406-411.
27. Scheller MS. Routine barbiturate brain protection during cardiopulmonary bypass cannot be recommended. J Neurosurgical Anesthesiol 1992: 4: 60-63.
28. Slogoff S, Girgis KZ, Keats AS. Etiologic factors in neuropsychiatric complications associated with cardiopulmonary bypass. Anesth Analg 1982: 61: 903-911.
29. Croughwell N, Lyth M, Quill TJ, Newman M, Greeley WJ, Smith LR, et al. Diabetic patients have abnormal cerebral autoregulation during cardiopulmonary bypass. Circulation 1990: 82(Suppl.IV): 407-412.