Gastric hypercarbia and adverse outcome after cardiac surgery

Intensive Care Medicine

Volumn 29, Issue 5, 2003, Pages 742-748

  Kavarana, Minoo N ^a   Frumento, Robert J ^a   Hirsch, Andrew L ^a   Oz, Mehmet C ^a   Lee, Daniel C ^a   Bennett Guerrero, Elliott ^a  

^a Columbia Univ Coll of Phys/Surgs ^*  (United States)

Author keywords

Cardiac surgery; Gastric tonometry; Postoperative outcome

Indexed keywords

LACTIC ACID;

ADULT; AGED; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; CARBON DIOXIDE TENSION; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HEART INDEX; HEART SURGERY; HEMODYNAMIC MONITORING; HOSPITALIZATION; HUMAN; HYPERCAPNIA; INFLAMMATION; INTENSIVE CARE; LENGTH OF STAY; MALE; MEAN ARTERIAL PRESSURE; MORBIDITY; MORTALITY; PERFUSION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; SPLANCHNIC BLOOD FLOW; TEMPERATURE DEPENDENCE; TONOMETRY; VENOUS OXYGEN TENSION;

EID: 0037955552     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-003-1687-1     Document Type: Article

References (32)

1. Mythen MG, Webb AR (1994) The role of gut mucosal hypoperfusion in the pathogenesis of post-operative organ dysfunction. Intensive Care Med 20:203-209
2. Bennett-Guerrero E (1999) Systemic inflammation. In: Joel A, Kaplan DL, Reich SN, Konstadt AR (eds) Cardiac anesthesia. Saunders, Philadelphia, pp 297-318
3. Hamilton-Davies C, Mythen MG, Salmon JB, Jacobson D, Shukla A, Webb AR (1997) Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry. Intensive Care Med 23:276-281
4. Price H, Deutsch S, Marshall B, Stephen G, Behar M, Neufeld G (1966) Hemodynamic and metabolic effects of hemorrhage in man, with particular reference to the splanchnic circulation. Circ Res 18:469-474
5. Baue AE (1993) The role of the gut in the development of multiple organ dysfunction in cardiothoracic patients. Ann Thorac Surg 55:822-829
6. Oudemans-van Straaten HM, Jansen PG, Hoek FJ, van Deventer SJ, Sturk A, Stoutenbeek CP, Tytgat GN, Wildevuur CR, Eysman L (1996) Intestinal permeability, circulating endotoxin, and postoperative systemic responses in cardiac surgery patients. J Cardiothorac Vasc Anesth 10:187-194
7. Soong CV, Halliday MI, Barclay GR, Hood JM, Rowlands BJ, Barros D'Sa AA (1997) Intramucosal acidosis and systemic host responses in abdominal aortic aneurysm surgery. Crit Care Med 25:1472-1479
8. Guzman JA, Kruse JA (1999) Gut mucosal-arterial Pco2 gradient as an indicator of splanchnic perfusion during systemic hypo- and hypercapnia. Crit Care Med 27:2760-2765
9. Bennett-Guerrero E, Panah MH, Bodian CA, Methikalam BJ, Alfarone JR, DePerio M, Mythen MG (2000) Automated detection of gastric luminal partial pressure of carbon dioxide during cardiovascular surgery using the Tonocap. Anesthesiology 92:38-45
10. Bennett-Guerrero E, Welsby I, Dunn TJ, Young LR, Wahl TA, Diers TL, Phillips-Bute BG, Newman MF, Mythen MG (1999) The use of a postoperative morbidity survey to evaluate patients with prolonged hospitalization after routine, moderate-risk, elective surgery. Anesth Analg 89:514-5149
11. Bjorck M, Lindberg F, Broman G, Bergqvist D (2000) pHi monitoring of the sigmoid colon after aortoiliac surgery. A five-year prospective study. Eur J Vasc Endovasc Surg 20:273-280
12. Croughwell ND, Newman MF, Lowry E, Davis RD Jr, Landolfo KP, White WD, Kirchner JL, Mythen MG (1997) Effect of temperature during cardiopulmonary bypass on gastric mucosal perfusion. Br J Anaesth 78:34-38
13. Donati A, Battisti D, Recchioni A, Paoletti P, Conti G, Caporelli S, Adrario E, Pelaia P, Pietropaoli P (1998) Predictive value of interleukin 6 (IL-6), interleukin 8 (IL-8) and gastric intramucosal pH (pH-i) in major abdominal surgery. Intensive Care Med 24:329-335
14. Fiddian-Green RG, Baker S (1987) Predictive value of the stomach wall pH for complications after cardiac operations: comparison with other monitoring. Crit Care Med 15:153-156
15. Gys T, Hubens A, Neels H, Lauwers LF, Peeters R (1988) Prognostic value of gastric intramural pH in surgical intensive care patients. Crit Care Med 16:1222-1224
16. Hamilton-Davies C, Barclay GR, Cardigan RA, McDonald SJ, Purdy G, Machin SJ, Webb AR (1997) Relationship between preoperative endotoxin immune status, gut perfusion, and outcome from cardiac valve replacement surgery. Chest 112:1189-1196
17. Lebuffe G, Decoene C, Pol A, Prat A, Vallet B (1999) Regional capnometry with air-automated tonometry detects circulatory failure earlier than conventional hemodynamics after cardiac surgery. Anesth Analg 89:1084-1090
18. Maynard ND, Taylor PR, Mason RC, Bihari DJ (1996) Gastric intramucosal pH predicts outcome after surgery for ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 11:201-206
19. Mythen MG, Webb AR (1994) Intraoperative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 20:99-104
20. Mythen MG, Webb AR (1995) Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 130:423-429
21. Pargger H, Hampl KF, Christen P, Staender S, Scheidegger D (1998) Gastric intramucosal pH-guided therapy in patients after elective repair of infrarenal abdominal aneurysms: is it beneficial? Intensive Care Med 24:769-7676
22. Soong CV, Halliday MI, Hood JM, Rowlands BJ, Barros D'Sa AA (1998) The use of tonometry to predict mortality in patients undergoing abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 15:24-28
23. Sugrue M, Jones F, Lee A, Buist MD, Deane S, Bauman A, Hillman K (1996) Intraabdominal pressure and gastric intramucosal pH: is there an association? World J Surg 20:988-991
24. Theodoropoulos G, Lloyd LR, Cousins G, Pieper D (2001) Intraoperative and early postoperative gastric intramucosal pH predicts morbidity and mortality after major abdominal surgery. Am Surg 67:303-308
25. Mythen MG, Purdy G, Mackie IJ, McNally T, Webb AR, Machin SJ (1993) Postoperative multiple organ dysfunction syndrome associated with gut mucosal hypoperfusion, increased neutrophil degranulation and C1-esterase inhibitor depletion. Br J Anaesth 71:858-863
26. Schlichtig R, Mehta N, Gayowski TJ (1996) Tissue-arterial PCO2 difference is a better marker of ischemia than intramural pH (pHi) or arterial pH-pHi difference. J Crit Care 11:51-56
27. Vincent JL, Creteur J (1998) Gastric mucosal pH is definitely obsolete-please tell us more about gastric mucosal PCO2. Crit Care Med 26:1479-1481
28. Andritsch RF, Muravchick S, Gold MI (1981) Temperature correction of arterial blood-gas parameters: a comparative review of methodology. Anesthesiology 55:311-316
29. Chapman MV, Mythen MG, Webb AR, Vincent JL (2000) Report from the meeting: Gastrointestinal Tonometry: State of the Art. 22nd-23rd May 1998, London, UK. Intensive Care Med 26:613-622
30. Bennett-Guerrero E, Ayuso L, Hamilton-Davies C, White WD, Barclay GR, Smith PK, King SA, Muhlbaier LH, Newman MF, Mythen MG (1997) Relationship of preoperative antiendotoxin core antibodies and adverse outcomes following cardiac surgery. JAMA 277:646-650
31. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368-1377
32. Gan TJ, Soppitt A, Maroof M, el-Moalem H, Robertson KM, Moretti E, Dwane P, Glass PS (2002) Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology 97:820-826