Anaerobic Metabolism During Cardiopulmonary Bypass: Predictive Value of Carbon Dioxide Derived Parameters

Annals of Thoracic Surgery

Volumn 81, Issue 6, 2006, Pages 2189-2195

  Ranucci, Marco ^a   Isgrò, Giuseppe ^a   Romitti, Federica ^a   Mele, Sara ^b   Biagioli, Bonizella ^b   Giomarelli, Pierpaolo ^b  

^a IRCCS POLICLINICO SAN DONATO   (Italy)

^b UNIVERSITY OF SIENA   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE; LACTIC ACID;

ADULT; AGED; ANAEROBIC METABOLISM; ARTERIAL OXYGEN SATURATION; ARTICLE; CARDIOPULMONARY BYPASS; CONTROLLED STUDY; FEMALE; HEART SURGERY; HUMAN; HYPERLACTATEMIA; LACTATE BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; OXYGEN CONSUMPTION; PRIORITY JOURNAL;

AGED; ANAEROBIOSIS; AREA UNDER CURVE; CARBON DIOXIDE; CARDIOPULMONARY BYPASS; CORONARY ARTERY BYPASS; FEMALE; HEART VALVE DISEASES; HUMANS; LACTATES; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXYGEN; OXYGEN CONSUMPTION; PARTIAL PRESSURE; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; ROC CURVE;

EID: 33646843934     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.athoracsur.2006.01.025     Document Type: Article

References (24)

1. Landow L. Splanchnic lactate production in cardiac surgery patients. Crit Care Med 21 suppl (1993) S84-S91
2. Raper R.F., Cameron G., Walker D., and Bowey C.J. Type B lactic acidosis following cardiopulmonary bypass. Crit Care Med 25 (1997) 46-51
3. Boldt J., Piper S., Murray P., and Lehmann A. Severe lactic acidosis after cardiac surgery. sign of perfusion deficits. J Cardiothorac Vasc Anesth 13 (1999) 220-224
4. Totaro R., and Raper R.F. Epinephrine induced lactic acidosis following cardiopulmonary bypass. Crit Care Med 25 (1997) 1693-1699
5. Maillet J.-M., Le Besnerais P., Cantoni M., et al. Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery. Chest 123 (2003) 1361-1366
6. Demers P., Elkouri S., Martineau R., Couturier A., and Cartier R. Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac operation. Ann Thorac Surg 70 (2000) 2082-2086
7. Fiaccadori E., Vezzani A., Coffrini E., et al. Cell metabolism in patients undergoing major valvular heart surgery. relationship with intra- and postoperative hemodynamics, oxygen transport and oxygen utilization patterns. Crit Care Med 17 (1989) 1286-1292
8. Landow L., Phillips D.A., Heard S.O., et al. Gastric tonometry and venous oximetry in cardiac surgery patients. Crit Care Med 19 (1991) 1226-1233
9. Habib R.H., Zacharias A., Schwann T.A., Riordan C.J., Durham S.J., and Shah A. Adverse effects of low hematocrit during cardiopulmonary bypass in the adult. should current practice be changed?. J Thorac Cardiovasc Surg 125 (2003) 1438-1450
10. Karkouti K., Beattie W.S., Wijeysundera D.N., et al. Hemodilution during cardiopulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgery. J Thorac Cardiovasc Surg 129 (2005) 391-400
11. Ranucci M., Romitti F., Isgrò G., et al. Oxygen delivery during cardiopulmonary bypass and acute renal failure following coronary operations. Ann Thorac Surg 80 (2005) 2213-2220
12. Zhang H., and Vincent J.L. Arteriovenous differences in Pco2 and pH are good indicators of critical hypoperfusion. Am Rev Respir Dis 148 (1993) 867-871
13. Mekontso-Dessap A., Castelain V., Anguel N., et al. Combination of venoarterial PCO2 difference with arteriovenous O2 content difference to detect anaerobic metabolism in patients. Intensive Care Med 28 (2002) 272-277
14. Jaffe M.B., and Orr J. Combining flow and carbon dioxide. In: Gravenstein J.S., Jaffe M.B., and Paulus D.A. (Eds). Capnography. clinical aspects (2004), Cambridge University Press, Cambridge, UK 423-426
15. Myles P.S., and Gin T. Statistical methods for anesthesia and intensive care (2000), Butterworth-Heinemann, Oxford, UK
16. Soni N., Fawcett W.J., and Halliday F.C. Beyond the lung. oxygen delivery and tissue oxygenation. Anaesthesia 48 (1993) 704-711
17. Pinsky M.R. Beyond global oxygen supply-demand relations. in search of measures of dysoxia. Intensive Care Med 20 (1994) 1-3
18. Steltzer H., Hiesmayr M., Mayer N., Krafft P., and Hammerle A.F. The relationship between oxygen delivery and uptake in the critically ill. is there a critical optimal therapeutic value?. Anaesthesia 49 (1994) 229-236
19. Bakker J., Coffernils M., Leon M., Gris P., and Vincent J.L. Blood lactate levels are superior to oxygen derived variables in predicting outcome in human septic shock. Chest 99 (1991) 956-962
20. Weil M.H., and Afifi A.A. Experimental and clinical studies on lactate and pyruvate as indicators of the severity of acute circulatory failure (shock). Circulation 41 (1970) 989-1001
21. Vincent J.L., Dufaye P., Berre J., Leeman M., Degaute J.P., and Kahn R.J. Serial determinations during circulatory shock. Crit Care Med 11 (1983) 449-451
22. Randall Jr. H.M., and Cohen J.J. Anaerobic CO2 production by dog kidney in vitro. Am J Physiol 211 (1966) 493-505
23. Elvenes O.P., Korvald C., Myklebust R., and Sorlie D. Warm retrograde blood cardioplegia saves more ischemic myocardium but may cause a functional impairment compared to cold crystalloid. Eur J Cardiothorac Surg 22 (2002) 402-409
24. Nguyen H.B., Rivers E.P., Knoblich B.P., et al. Early lactate clearance is associated with improved outcome in severe sepsis and shock. Crit Care Med 32 (2004) 1637-1642