Assessment of the adequacy of systemic and regional perfusion after cardiac surgery

British Journal of Anaesthesia

Volumn 84, Issue 5, 2000, Pages 571-577

  Jakob, S M ^a   Ruokonen, E ^a   Takala, J ^a  

^a KUOPIO UNIVERSITY HOSPITAL   (Finland)

Author keywords

Enzymes, glutathione transferase alpha; Lung, blood flow, perfusion; Metabolism, lactate; Surgery, cardiovascular

Indexed keywords

ALCURONIUM; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM ANTAGONIST; CARBON DIOXIDE; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; FENTANYL; GLUTATHIONE TRANSFERASE; HALOTHANE; HETASTARCH; INDOCYANINE GREEN; MIDAZOLAM; NITRIC ACID DERIVATIVE; NITROPRUSSIDE SODIUM; OXYCODONE; PANCURONIUM; PHENYLEPHRINE; THIOPENTAL; VECURONIUM;

ADULT; AGED; ARTICLE; BLOOD CARBON DIOXIDE TENSION; BLOOD FLOW; CLINICAL ARTICLE; ENZYME BLOOD LEVEL; EXTUBATION; FEMORAL ARTERY FLOW; HEART OUTPUT; HEART SURGERY; HUMAN; HYPERTENSION; INTENSIVE CARE UNIT; LIVER BLOOD FLOW; LIVER FUNCTION; OXYGEN CONSUMPTION; PERIPHERAL CIRCULATION; PRIORITY JOURNAL; SHIVERING; SPLEEN BLOOD FLOW; STOMACH MUCOSA; SYSTEMIC CIRCULATION; TONOMETRY;

EID: 0034011457     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/84.5.571     Document Type: Article

References (29)

1. Craddock D, Iyer VS, Russell WJ. Factors influencing mortality and myocardial infarction after coronary artery bypass grafting. Curr Opin Cardial 1994; 9: 664-9
2. Mills SA. Cerebral injury and cardiac operations. Ann Thorac Surg 1993; 56 (Suppl.): 86-91
3. Mythen MG, Webb AR. Intra-operative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 1994; 20: 99-104
4. Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 1995; 130: 423-9
5. Landow L, Phillips DA, Heard SO et al. Gastric tonometry and venous oximetry in cardiac surgery patients. Crit Care Med 1991; 19: 1226-33
6. Parviainen I, Ruokonen E, Takala J. Dobutamine-induced dissociation between changes in splanchnic blood flow and gastric intramucosal pH after cardiac surgery. Br J Anaesth 1995; 74: 277-82
7. Uusaro A, Ruokonen E, Takala J. Splanchnic oxygen transport after cardiac surgery: evidence for inadequate tissue perfusion after stabilization of haemodynamics. Intensive Care Med 1996; 22: 26-33
8. Sicsic JC, Duranteau J, Corbineau H et al. Gastric mucosal oxygen delivery decreases during cardiopulmonary bypass despite constant systemic oxygen delivery. Anesth Analg 1998; 86: 455-60
9. Parviainen I, Rantala A, Ruokonen E, Tenhunen J, Takala J. Angiotensin converting enzyme inhibition has no effect on blood pressure and splanchnic perfusion after cardiac surgery. J Crit Care 1998; 13: 73-30
10. Uusaro A, Ruokonen E, Takala J. Gastric mucosal pH does not reflect changes in splanchnic blood flow after cardiac surgery. Br J Anaesth 1995; 74: 149-54
11. Bouachour G, Guiraud MP, Gouello JP et al. Gastric intramucosal pH: an indicator of weaning outcome from mechanical ventilation in COPD patients. Eur Respir J 1996; 9: 1868-73
12. Ramsay MAE, Savege TM, Simpson BJ et al. Controlled sedation with alphaxalone/alphadalone. Brit/Med J 1974; 2: 656-9
13. Uusaro A, Ruokonen E, Takala J. Estimation of splanchnic blood flow by the Pick principle in man and problems in the use of indocyanine green. Cardiovasc Res 1995; 30: 106-12
14. 2 content. J Appl Physiol 1993; 74: 959-64
15. Parviainen I, Vaisanen O, Ruokonen E, Takala J. Effect of nasogastric suction and ranitidine on the calculated gastric intramucosal pH. Intensive Care Med 1996; 22: 319-23
16. Solberg HE. International Federation of Clinical Chemistry (IFCC), Scientific Committee, Clinical Section, Expert Panel on Theory of Reference Values, and International Committee for Standardization in Hematology (ICSH), Standing Committee on Reference Values. Approved Recommendation (1986) on the theory of reference values. Part I. The concept of reference values. J Clin Chem Clin Biochem 1987; 25: 337-42
17. Tiainen P. Hepatocellular integrity in liver donors and recipients indicated by glutathione transferase alpha. Transplantation 1996; 61: 904-8
18. Tiainen P. Hepatocellular integrity during and after isoflurane and halothane anaesthesia in surgical patients. Br J Anaesth 1996; 77: 744-7
19. Rowell LB, Blackmon JR, Kenny MA, Escourrou P. Splanchnic vasomotor and metabolic adjustments to hypoxia and exercise in humans. Am J Physiol 1984; 247: H251-8
20. 2 uptake during endotoxemia. J Appl Physiol 1988; 64: 2410-9
21. Vinten-Johansen J, Nakanishi KJ. Postcardioplegia acute cardiac dysfunction and reperfusion injury. Cardiothoroc Vasc Anesth 1993; 7 (Suppl.): 6-18
22. Licker M, Schweizer A, Ralley FE. Thermoregulatory and metabolic responses following cardiac surgery. Eur J Anaesthesiol 1996; 13: 502-10
23. Huckabee WE. Relationships of pyruvate and lactate during anaerobic metabolism. I. Effects of infusion of pyruvate or glucose and of hyper-ventilation. J Clin Invest 1958; 37: 244-54
24. Campbell JAH, Corrigall AV, Guy A, Kirsch RE. Immunhistologic localization of alpha, mu, and pi class glutathione S-transferases in human tissues. Cancer 1991; 67: 1608-13
25. Mazzarella V, Gallucci MT, Tozzo C et al. Renal function in patients undergoing cardiopulmonary bypass operations. J Thorac Cardiovasc Surg 1992; 104: 1625-7
26. Teboul JL, Graini L, Boujdaria R et al. Cardiac index vs oxygen-derived parameters for rational use of dobutamine in patients with congestive heart failure. Chest 1993; 103: 81-5
27. 2 gradient after cardiac surgery; relation to systemic and regional perfusion and oxygen transport. Shock 1997; 8: 335-40
28. Mohsenifar Z, Collier J, Koerner SK. Gastric intramural pH in mechanically ventilated patients. Thorax 1996; 51: 606-10
29. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; i: 307-10