Increasing mean arterial pressure improves jugular venous oxygen saturation in patients with and without preexisting stroke during normothermic cardiopulmonary bypass

Journal of Clinical Anesthesia

Volumn 15, Issue 5, 2003, Pages 339-344

  Kadoi, Yuji ^a,c   Fujita, Nao ^b  

^a GUNMA UNIVERSITY   (Japan)

^b Keiyu Orthopedic Hospital   (Japan)

^c GUNMA UNIVERSITY   (Japan)

Author keywords

Arterial blood pressure; Jugular venous oxygen saturation; Preexisting stroke

Indexed keywords

DIAZEPAM; FENTANYL; MIDAZOLAM; PHENYLEPHRINE; VECURONIUM;

ANESTHESIA INDUCTION; ARTERIAL GAS; ARTICLE; BODY TEMPERATURE; CARDIOPULMONARY BYPASS; CATHETER; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; ELECTIVE SURGERY; FIBER OPTICS; HEMODYNAMIC MONITORING; HUMAN; JUGULAR VEIN; MEAN ARTERIAL PRESSURE; OXIMETRY; OXYGEN SATURATION; PATIENT MONITORING; PRIORITY JOURNAL; STROKE; VENOUS OXYGEN TENSION;

EID: 0141737636     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0952-8180(03)00063-1     Document Type: Article

References (19)

1. Roach G.W., Kanchuger M., Mangano C.M., et al. Adverse cerebral outcomes after coronary bypass surgery. Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation Investigators. N Engl J Med. 335:1996;1857-1863.
2. Goto T., Yoshitake A., Baba T., Shibata Y., Sakata R., Uozumi H. Cerebral ischemic disorders and cerebral oxygen balance during cardiopulmonary bypass surgery Evaluation using magnetic resonance imaging and angiography . Anesth Analg. 84:1997;5-11.
3. Kadoi Y., Saito S., Kawahara F., Goto F., Owada R., Fujita N. Jugular venous bulb oxygen saturation in patients with preexisting diabetes mellitus or stroke during normothermic cardiopulmonary bypass. Anesthesiology. 92:2000;1324-1329.
4. Kadoi Y., Saito S., Goto F., Fujita N. Effects of small doses of prostaglandin E(1) on systemic hemodynamics and jugular venous oxygen saturation during cardiopulmonary bypass. J Clin Anesth. 13:2001;417-421.
5. Hanel F., von Knobelsdorff G., Werner C., Sculte Am Esch J. Hypercapnia prevents jugular bulb desaturation during rewarming from hypothermic cardiopulmonary bypass. Anesthesiology. 89:1998;19-23.
6. Hindman B.J. Jugular venous hemoglobin desaturation during rewarming on cardiopulmonary bypass what does it mean, what does it matter? Anesthesiology. 89:1998;3-5.
7. Shaaban Ali M., Harmer M., Latto I. Jugular bulb oximetry during cardiac surgery. Anaesthesia. 56:2001;24-37.
8. Grubhofer G., Lassnigg A.M., Schneider B., Rajek M.A., Pernerstorfer T., Hiesmayr M.J. Jugular venous bulb oxygen saturation depends on blood pressure during cardiopulmonary bypass. Ann Thorac Surg. 65:1998;653-658.
9. Heyer E.J., Adams D.C. Neurological assessment and cardiac surgery. J Cardiothorac Vasc Anesth. 10:1996;99-104.
10. Croughwell N.D., Newman M.F., Blumenthal J.A., et al. Jugular bulb saturation and cognitive dysfunction after cardiopulmonary bypass. Ann Thorac Surg. 58:1994;1702-1708.
11. Kadoi Y., Saito S., Goto F., Fujita N. Decrease in jugular venous oxygen saturation during normothermic cardiopulmonary bypass predicts short-term postoperative neurologic dysfunction in elderly patients. J Am Coll Cardiol. 38:2001;1450-1455.
12. Newman M.F., Croughwell N.D., White W.D., et al. Effect of perfusion pressure on cerebral blood flow during normothermic cardiopulmonary bypass. Circulation. 94:(9Suppl):1996;II353-357.
13. Sadahiro M., Haneda K., Mohri H. Experimental study of cerebral autoregulation during cardiopulmonary bypass with or without pulsatile perfusion. J Thorac Cardiovasc Surg. 108:1994;446-454.
14. Nandate K., Vuylsteke A., Ratsep I., et al. Effects of isoflurane, sevoflurane and propofol anaesthesia on jugular venous oxygen saturation in patients undergoing coronary artery bypass surgery. Br J Anaesth. 84:2000;631-633.
15. Kadoi Y, Saito S, Kunimoto F, Goto F, Fujita N: The comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction. Ann Thorac Surg (in press).
16. Robson M.J., Alston R.P., Deary I.J., Andres P.J., Souter M.J., Yates S. Cognition after coronary artery surgery is not related to postoperative jugular bulb oxyhemoglobin desaturation. Anesth Analg. 91:2000;1317-1326.
17. Yoshitani K., Kawaguchi M., Sugiyama N., et al. The association of high jugular bulb venous oxygen saturation with cognitive decline after hypothermic cardiopulmonary bypass. Anesth Analg. 92:2001;1370-1376.
18. Kadoi Y., Kawahara F., Saito S., et al. Effects of hypothermic and normothermic cardiopulmonary bypass on brain oxygenation. Ann Thorac Surg. 68:1999;34-39.
19. Kawahara F., Kadoi Y., Saito S., Yoshikawa D., Goto F., Fujita N. Balloon pump-induced pulsatile perfusion during cardiopulmonary bypass does not improve brain oxygenation. J Thorac Cardiovasc Surg. 118:1999;361-366.