Using jugular bulb oxyhemoglobin saturation to guide onset of deep hypothermic circulatory arrest does not affect post-operative neuropsychological function

European Journal of Cardio-thoracic Surgery

Volumn 25, Issue 3, 2004, Pages 401-406

  Reich, David L ^a   Horn, Loren M ^a   Hossain, Sabera ^a   Uysal, Suzan ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

Aortic aneurysm; Hypothermic circulatory arrest; Jugular bulb oxyhemoglobin saturation; Neuropsychology; Outcome study; Thoracic; Thoracic surgery

Indexed keywords

ADULT; AGED; AORTA SURGERY; ARTICLE; COGNITION; CONTROLLED STUDY; COOLING; DEEP HYPOTHERMIC CIRCULATORY ARREST; ELECTROENCEPHALOGRAPHY; FEMALE; HUMAN; INDUCED HYPOTHERMIA; JUGULAR BULB OXYHEMOGLOBIN SATURATION; MAJOR CLINICAL STUDY; MALE; NEUROPROTECTION; NEUROPSYCHOLOGICAL TEST; OXYGEN SATURATION; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; TEMPERATURE; TEMPERATURE MEASUREMENT; THORACIC AORTA;

ADULT; AGED; AGED, 80 AND OVER; AORTIC ANEURYSM, THORACIC; ATTENTION; CARDIOPULMONARY BYPASS; FEMALE; HEART ARREST, INDUCED; HUMANS; HYPOTHERMIA, INDUCED; MALE; MENTAL DISORDERS; MENTAL PROCESSES; MIDDLE AGED; NERVOUS SYSTEM DISEASES; NEUROPSYCHOLOGICAL TESTS; OXYHEMOGLOBINS; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PSYCHOMOTOR PERFORMANCE;

EID: 1542404696     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejcts.2003.11.041     Document Type: Article

References (14)

1. Todd M.M., Warner D.S. A comfortable hypothesis reevaluated. Cerebral metabolic depression and brain protection during ischemia. Anesthesiology. 76:1992;161-164.
2. Greeley W.J., Kern F.H., Ungerleider R.M., Boyd J.L. III, Quill T., Smith L.R., Baldwin B., Reves J.G. The effect of hypothermic cardiopulmonary bypass and total circulatory arrest on cerebral metabolism in neonates, infants and children. J Thorac Cardiovasc Surg. 101:1991;783-794.
3. Stone J.G., Young W.L., Smith C.R., Solomon R.A., Wald A., Ostapkovich N., Shrebnick D.B. Do standard monitoring sites reflect true brain temperature when profound hypothermia is rapidly induced and reversed? Anesthesiology. 82:1995;344-351.
4. Kern F.H., Greeley W.J. Con: Monitoring of nasopharyngeal and rectal temperatures is not an adequate guide of brain cooling before deep hypothermic circulatory arrest. J Cardiothorac Vasc Anesth. 8:1994;363-365.
5. Kirshbom P.M., Skryak L.R., DiBernardo L.R., Kern F.H., Greeley W.J., Gaynor J.W., Ungerleider R.M. pH-stat cooling improves cerebral metabolic recovery after circulatory arrest in a piglet model of aortopulmonary collaterals. J Thorac Cardiovasc Surg. 111:1996;147-155. discussion 156-7.
6. Ergin M.A., Galla J.D., Lansman S.L., Quintana C., Bodian C., Griepp R.B. Hypothermic circulatory arrest in operations on the thoracic aorta. J Thorac Cardiovasc Surg. 107:1994;788-799.
7. Reich D.L., Uysal S., Sliwinski M., Ergin M.A., Kahn R.A., Konstadt S.N., McCullough J., Hibbard M.R., Gordon W.A., Griepp R.B. Neuropsychological outcome following deep hypothermic circulatory arrest in adults. J Thorac Cardiovasc Surg. 117:1999;156-163.
8. Gopinath S.P., Robertson C.S., Contant C.F., Hayes C., Feldman Z., Narayan R.K., Grossman R.G. Jugular venous desaturation and outcome after head injury. J Neurol Neurosurg Psychiatry. 57:1994;717-723.
9. Croughwell N.D., Newman M.F., Blumenthal J.A., White W.D., Lewis J.B., Frasco P.E., Smith L.R., Thyrum E.A., Hurwitz B.J., Leone B.J., Schell R.M., Reves J.G. Jugular bulb saturation and cognitive dysfunction after cardiopulmonary bypass. Ann Thorac Surg. 58:1994;1702-1708.
10. Robson M.J.A., Alston R.P., Deary I.J., Andrews P.J.D., Souter M.J., Yates S. Cognition after coronary artery surgery is not related to postoperative jugular bulb oxyhemoglobin desaturation. Anesth Analg. 9:2000;1317-1326.
11. Yoshitani K., Kawaguchi M., Sugiyama N., Sugiyama M., Inoue S., Sakamoto T., Kitaguchi K., Furuya H. The association of high jugular bulb venous oxygen saturation with cognitive decline after hypothermic cardiopulmonary bypass. Anesth Analg. 92:2001;1370-1376.
12. Ergin M.A., Uysal S., Reich D.L., Apaydin A., Lansman S.L., McCullough J.N., Griepp R.B. Temporary neurological dysfunction after deep hypothermic circulatory arrest: a clinical marker of long-term functional deficit. Ann Thorac Surg. 67:1999;1887-1894.
13. Reich D.L., Uysal S., Ergin M.A., Bodian C.A., Hossain S., Griepp R.B. Retrograde cerebral perfusion during thoracic aortic surgery and late neuropsychological dysfunction. Eur J Cardiothorac Surg. 19:2001;594-600.
14. Spielvogel D., Mathur M.N., Lansman S.L., Griepp R.B. Aortic arch reconstruction using a trifurcated graft. Ann Thorac Surg. 75:2003;1034-1036.