Splanchnic perfusion during controlled hypotension combined with acute hypervolemic hemodilution: A comparison with combination of acute normovolemic hemodilution - Gastric intramucosal pH study

Journal of Clinical Anesthesia

Volumn 12, Issue 6, 2000, Pages 421-426

  Fukusaki, Makoto ^a,b   Nakamura, Toshiaki ^a   Miyoshi, Hiroshi ^a   Tamura, Shino ^a   Sumikawa, Koji ^a  

^a Department of Anesthesia ^*

^b NAGASAKI ROSAI HOSPITAL   (Japan)

Author keywords

Anesthetic techniques; Controlled; Hemodilution; Hypotension; Intramucosal pH gastric; Monitoring; Therapeutic

Indexed keywords

ATROPINE; FENTANYL; HETASTARCH; ISOFLURANE; LACTIC ACID; NITROUS OXIDE PLUS OXYGEN; PROSTAGLANDIN E1; RANITIDINE; RINGER SOLUTION; THIAMYLAL; VECURONIUM;

ADULT; AGED; ANESTHESIA; ARTERIAL PH; ARTICLE; BLOOD; BLOOD VOLUME; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; HEMATOCRIT; HEMODILUTION; HUMAN; HYPERVOLEMIA; HYPOTENSION; INTERMETHOD COMPARISON; LACTATE BLOOD LEVEL; MEAN ARTERIAL PRESSURE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPLANCHNIC BLOOD FLOW; STOMACH MUCOSA; STOMACH PH; TIME; TISSUE PERFUSION; TONOMETRY; TOTAL HIP PROSTHESIS;

AGED; ALPROSTADIL; BLOOD VOLUME; CARBON DIOXIDE; FEMALE; GASTRIC ACIDITY DETERMINATION; HEMODILUTION; HUMANS; HYPOTENSION, CONTROLLED; ISOFLURANE; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SPLANCHNIC CIRCULATION;

EID: 0033776986     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0952-8180(00)00183-5     Document Type: Article

References (24)

1. Trouwborst A, van Woerkens EC, van Daele M, Tenbrinck R: Acute hypervolemic haemodilution to avoid blood transfusion during major surgery. Lancet 1990;336:1295-7.
2. Mielke LL, Entholzner EK, Kling M, et al: Preoperative acute hypervolemic hemodilution with hydroxyethylstarch: an alternative to acute normovolemic hemodilution? Anesth Analg 1997;84: 26-30.
3. Hur SR, Huizenga BA, Major M: Acute normovolemic hemodilution combined with hypotensive anesthesia and other techniques to avoid homologous transfusion in spinal fusion surgery. Spine 1992;17:867-73.
4. Gutierrez G, Palizas F, Doglio GR, et al: Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 1992;339:195-9.
5. Fukusaki M, Hara T, Maekawa T, Nakamura T, Cho S, Sumikawa K: Effect of controlled hypotension combined with hemodilution on gastric intramural pH. J Clin Anesth 1998;10:222-7.
6. Heard SO, Helsmoortel CM, Kent JC, Shahnarian A, Fink MP: Gastric tonometry in healthy volunteers: Effect of ranitidine on calculated intramural pH. Crit Care Med 1991;19:271-4.
7. Fiddian-Green RG: Tonometry: theory and applications. Intensive Care World 1992;9:130-5.
8. Groeneveld ABJ, Kolkman JJ: Splanchnic tonometry: a review of physiology, methodology, and clinical applications. J Crit Care 1994;9:198-210.
9. 2 and its influence on the intramural pH in gastric mucosa. J Surg Res 1982;33:39-48.
10. Entholzner EK, Mielke LL, Lanzinger MJ, et al: Hemodynamic changes during hypervolemic hemodilution under isoflurane anesthesia [Abstract]. Anesth Analg 1999;88:S73.
11. Gys T, Hubens A, Neels H, Lauwers LF, Peeters R: Prognostic value of gastric intramural pH in surgical intensive care patients. Crit Care Med 1988;16:1222-4.
12. Boyd O, Mackay CJ, Lamb G, et al: Comparison of clinical informations gained from routine blood-gas analysis and from gastric tonometry for intramural pH. Lancet 1993;341:142-6.
13. Fukusaki M, Nakamura T, Hara T, Fukushima H, Hasuo H, Sumikawa K: Splanchnic perfusion during controlled hypotension with haemodilution under isoflurane anaethesia in elderly patients. Eur J Anaesthesiol 1999;16:519-25.
14. Van der Linden P, Gilbart WE, Engelman E, Wautrecht J-C, Lenaers A, Vingent J-L: Cardiovascular effects of moderate normovolaemic haemodilution during enflurane-nitrous oxide anaesthesia in man. Acta Anaesthesiol Scand 1994;38:490-8.
15. Goto F, Otani E, Kato S, Fujita T: Prostaglandin E1 as a hypotensive drug during general anaesthesia. Anaesthesia 1982; 37:530-5.
16. Fukusaki M, Matsumoto M, Yamaguchi K, Ogata K, Ide R, Sumikawa K: Effects of hemodilution during controlled hypotension on hepatic, renal, and pancreatic function in humans. J Clin Anesth 1996;8:545-50.
17. Konturek SJ, Robert A, Hanchar AJ, Nezamis JE: Comparison of prostacyclin and prostaglandin E2 on gastric secretion, gastrin release, and mucosal blood flow in dogs. Dig Dis Sci 1980;25: 673-9.
18. Fukusaki M, Maekawa T, Kobayashi I, Hara T, Sumikawa K: Catecholamine and renin-angiotensin response during controlled hypotension induced by prostaglandin E1 combined with hemodilution during isoflurane anesthesia. J Clin Anesth 1997;9: 321-7.
19. Hoka S, Siker D, Bosnjak ZJ, Kampine JP: Alteration of blood flow distribution and vascular capacitance during induced hypotension in deafferented dogs. Anesthesiology 1987;66: 647-52.
20. Suttner SW, Boldt J, Schmidt CC, Piper SN, Schuster P, Kumle B: The effects of sodium nitroprusside-induced hypotension on splanchnic perfusion and hepatocellular integrity. Anesth Analg 1999;89:1371-7.
21. 2-measurement of six standard blood gas analysers with a phosphate-buffered solution for gastric tonometry. Anaesthesia 1995;50: 532-4.
22. Knichwitz G, Kuhmann M, Brodner G, et al: Gastric tonometry: precision and reliability are improved by a phosphate-buffered solution. Crit Care Med 1996;24:512-6.
23. Steverink PJGM, Kolkman JJ, Groeneveld ABJ, de Vries JW: Catheter dead space: a source of error during tonometry. Br J Anaesth 1998;80:337-41.
24. 2. Anesth Analg 1998;87: 134-42.