Clinical evaluation of reflectance spectrophotometry for the measurement of gastric microvascular oxygen saturation in patients undergoing cardiopulmonary bypass

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 16, Issue 5, 2002, Pages 576-581

  Fournell, Artur ^a   Schwarte, Lothar A ^a   Scheeren, Thomas W L ^a   Kindgen Milles, Detlef ^a   Feindt, Peter ^a   Loer, Stephan A ^a  

^a HEINRICH HEINE UNIVERSITY   (Germany)

Author keywords

Cardiac surgery; Cardiopulmonary bypass (CPB); Gastric mucosal oxygen saturation; Reflectance spectrophotometry; Splanchnic ischemia

Indexed keywords

ADULT; AGED; ANESTHESIA INDUCTION; ARTICLE; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CLINICAL PROTOCOL; CONTROLLED STUDY; FEMALE; HEART SURGERY; HEMODYNAMIC MONITORING; HUMAN; MALE; MICROVASCULARIZATION; OXYGEN SATURATION; PATIENT MONITORING; PRIORITY JOURNAL; PULSATILE FLOW; REFLECTOMETRY; SPECTROPHOTOMETRY; STOMACH MUCOSA; SURGICAL TECHNIQUE; SYSTEMIC CIRCULATION;

EID: 0036794119     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/jcan.2002.126951     Document Type: Article

References (30)

1. Tsiotos GG, Mullany CJ, Zietlow S, van Heerden JA: Abdominal complications following cardiac surgery. Am J Surg 167:553-557, 1994
2. Christenson JT, Schmuziger M, Maurice J, et al: Gastrointestinal complications after coronary artery bypass grafting. J Thorac Cardiovasc Surg 108:899-906, 1994
3. Allen KB, Salam AA, Lumsden AB: Acute mesenteric ischemia after cardiopulmonary bypass. J Vasc Surg 16:391-396, 1992
4. Ohri SK, Somasundaram S, Koak Y, et al: The effect of intestinal hypoperfusion on intestinal absorption and permeability during cardiopulmonary bypass. Gastroenterology 106:318-323, 1994
5. Sinclair DG, Haslam PL, Quinlan GJ, et al: The effect of cardiopulmonary bypass on intestinal and pulmonary endothelial permeability. Chest 108:718-724, 1995
6. Riddington DW. Venkatesh B, Boivin CM, et al: Intestinal permeability, gastric intramucosal pH, and systemic endotoxemia in patients undergoing cardiopulmonary bypass. JAMA 275:1007-1012, 1996
7. Seghaye MC, Grabitz RG, Duchateau J, et al: Inflammatory reaction and capillary leak syndrome related to cardiopulmonary bypass in neonates undergoing cardiac operations. J Thorac Cardiovasc Surg 112:687-697, 1996
8. Cox CS Jr, Allen SJ, Brennan M: Analysis of intestinal microvascular permeability associated with cardiopulmonary bypass. J Surg Res 83:19-26, 1999
9. Rocke DA, Gaffin SI, Wells MT, et al: Endotoxemia associated with cardiopulmonary bypass. J Thorac Cardiovasc Surg 93:832-837, 1987
10. Andersen LW, Landow L, Baek L, Baker S: Association between gastric intramucosal pH and splanchnic endotoxin, antibody to endotoxin, and tumor necrosis factor-α concentrations in patients undergoing cardiopulmonary bypass. Crit Care Med 21:210-217, 1993
11. Robin ED: Of man and mitochondria: coping with hypoxic dysoxia. The 1980 J. Bums Amberson Lecture. Am Rev Respir Dis 122:517-531, 1980
12. Frank KH, Kessler M, Appelbaum K, Dümmler W: The Erlangen micro-lightguide spectrophotometer EMPHO I. Phys Med Biol 34:1883-1900, 1989
13. Hasibeder W, German R, Sparr H, et al: Vasomotion induces regular major oscillations in jejunal mucosal tissue oxygenation. Am J Physiol 266:G978-G986, 1994
14. Fournell A, Scheeren TW, Schwarte LA: PEEP decreases oxygenation of the intestinal mucosa despite normalization of cardiac output. Adv Exp Med Biol 454:435-440, 1998
15. Scheeren TW, Schwarte LA, Loer SA, et al: Dopexamine but not dopamine increases gastric mucosal oxygenation during mechanical ventilation in dogs. Crit Care Med 30:881-887, 2002
16. Temmesfeld-Wollbrück B, Szalay A, Mayer K, et al: Abnormalities of gastric mucosal oxygenation in septic shock: Partial responsiveness to dopexamine. Am J Respir Crit Care Med 157:1586-1592, 1998
17. Leung FW, Lo SK, Phan QQ, et al: Factors influencing reflectance spectrophotometric measurements of gastrointestinal mucosal blood flow. Gastrointest Endosc 41:18-21, 1995
18. Schwarz B, Hofstöwtter H, Salak N, et al: Effects of norepinephrine and phenylephrine on intestinal oxygen supply and mucosal tissue oxygen tension. Intensiv Care Med 27:593-601, 2001
19. 2 gap is associated with impaired villus microcirculation in endotoxic dogs. Intensive Care Med 27:757-766, 2001
20. 2 and its influence on the intramural pH in gastric intestines of rats. J Surg Res 33:39-48, 1982
21. 2 in critically ill septic patients. Intensive Care Med 23:524-529, 1997
22. Creteur J, De Backer D, Vincent JL: Monitoring gastric mucosal carbon dioxide pressure using gas tonometry: In vitro and in vivo validation studies. Anesthesiology 87:504-510, 1997
23. Bennett-Guerrero E, Panah MH, Bodian CA, et al: Automated detection of gastric luminal partial pressure of carbon dioxide during cardiovascular surgery using the tonocap. Anesthesiology 92:38-45, 2000
24. Tao W, Zwischenberger JB, Nguyen TT, et al: Gut mucosal ischemia during normothermic cardiopulmonary bypass results from blood flow redistribution and increased oxygen demand. J Thorac Cardiovasc Surg 110:819-828, 1995
25. Ohri SK, Becket J, Brannan J, et al: Effects of cardiopulmonary bypass on gut blood flow, oxygen utilization, and intramucosal pH. Ann Thorac Surg 57:1193-1199, 1994
26. Haisjackl M, German R, Hasibeder W, et al: Mucosal tissue oxygenation of the porcine jejunum during normothermic cardiopulmonary bypass. Br J Anaesth 82:738-745, 1999
27. Bacher A, Mayer N, Rajek AM, Haider W: Acute normovolaemic haemodilution does not aggravate gastric mucosal acidosis during cardiac surgery. Intensive Care Med 24:313-321, 1998
28. Sicsic JC, Duranteau J, Corbineau H, et al: Gastric mucosal oxygen delivery decreases during cardiopulmonary bypass despite constant systemic oxygen delivery. Anesth Analg 86:455-460, 1998
29. Coetzee A, Swanepoel C: The oxyhemoglobin dissociation curve before, during, and after cardiac surgery. Scand J Clin Lab Invest 50:Suppl 203:149-153, 1990
30. Leone BJ, Watke CM, Osgood CF, et al: Effect of mild hypothermia during cardiopulmonary bypass on erythrocytic hemoglobin oxygen delivery. J Cardiothorac Vasc Anesth 12:393-396, 1998