What blood pressure is appropriate for cardiopulmonary bypass and how to get it

Journal of Extra-Corporeal Technology

Volumn 38, Issue 1, 2006, Pages 69-71

  Merry, Alan ^a  

^a AUCKLAND CITY HOSPITAL   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

VASOCONSTRICTOR AGENT;

BLOOD PRESSURE MEASUREMENT; BRAIN BLOOD FLOW; BRAIN INJURY; BRAIN PERFUSION; CARDIOPULMONARY BYPASS; CARDIOVASCULAR AUTOREGULATION; CLINICAL TRIAL; CONFERENCE PAPER; CONTROLLED CLINICAL TRIAL; CORONARY ARTERY BYPASS GRAFT; CORRELATION ANALYSIS; ELECTIVE SURGERY; HEART SURGERY; HUMAN; LENGTH OF STAY; MEAN ARTERIAL PRESSURE; METABOLIC RATE; MORTALITY; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; RANDOMIZED CONTROLLED TRIAL; TEMPERATURE MEASUREMENT; BLOOD PRESSURE; BRAIN; METHODOLOGY; PERFUSION; PERIOPERATIVE PERIOD; PEROPERATIVE COMPLICATION; PHYSIOLOGY; REPERFUSION INJURY; REVIEW;

BLOOD PRESSURE; BRAIN; CARDIOPULMONARY BYPASS; HUMANS; INTRAOPERATIVE COMPLICATIONS; PERFUSION; PERIOPERATIVE CARE; REPERFUSION INJURY;

EID: 33744977216     PISSN: 00221058     EISSN: 29698960     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (21)

1. Gold, JP, Williams-Russo P, Szatrowski TP, et al., Improvement of outcomes after coronary artery bypass. A randomized trial comparing intraoperative high versus low mean arterial pressure. JTCVS 1995;110:1302-11, discussion 1311-4.
2. Roach GW, Kanchuger M, Manzano CM, 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. 1996;335:1857-63.
3. Barbut D, Grassineau D, Lis E, et al. Posterior distribution of infarcts in strokes related to cardiac operations. Ann Thorac Surg. 1998;65:1656-9.
4. Likosky DS, Marrin CAS, Caplan LR, et al. Determination of etiologic mechanisms of strokes secondary to coronary artery bypass graft surgery. Stroke. 2003;34:2830-4.
5. Stockard JJ, Bickford RG, Myers RR, et al. Hypotension-induced changes in cerebral function during cardiac surgery. Stroke. 1974;5:730-46.
6. Murkin JM. Pro: tight intraoperative glucose control improves outcome in cardiovascular surgery. J Cardiothor Vase Anesth. 2000;14:475-8.
7. Schmidt M, Scheunert T, Steinbach G, et al. Hypertension as a risk factor for cerebral injury during cardiopulmonary bypass. Protein S100B and transcranial Doppler findings. Anaesthesia. 2001;56:733-8.
8. rd, et al. Severity of aortic atheromatous disease diagnosed by transesophageal echocardiography predicts stroke and other outcomes associated with coronary artery surgery: a prospective study. Anesthesia & Analgesia. 1996;83:701-8.
9. Mitchell SJ, Pellett O, Gorman DF. Cerebral protection by lidocaine during cardiac operations. Ann Thorac Surg. 1999;67:1117-24.
10. Mora CT, Henson ME, Weintraub WS, et al. The effect of temperature management during cardiopulmonary bypass on neurologic and neuropsychologic outcomes in patients undergoing coronary revascularization. J Thorac Cardiovasc Surg. 1996;112:514-22.
11. Stockard JJ, Bickford RG, Schauble JF. Pressure-dependent cerebral ischemia during cardiopulmonary bypass. Neurology. 1973;23:521-9.
12. Brown WR, Moody DM, Challa VR, Stump DA, Hammon JW. Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli. Stroke. 2000;31:707-13.
13. Ergin MA, Griepp EB, Lansman SL, et al. Hypothermic circulatory arrest and other methods of cerebral protection during operations on the thoracic aorta. Journal of Cardiac Surgery. 1994;9:525-37.
14. Mitchell SJ, Willcox T, Gorman DF. Bubble generation by the medtronic maxima hard shell adult reservoir in cardiopulmonary bypass circuits. Undersea and Hyperbaric Medicine. 1996;23:A12.
15. Willcox TW, Mitchell SJ, Gorman DF. Venous air in the bypass circuit: a source of arterial line emboli exacerbated by vacuum-assisted drainage. Ann Thorac Surg. 1999;68:1285-9.
16. Tachakra SS. Distribution of skin petechiae in fat embolism rash. Lancet. 1976;1:284-5.
17. Fang WC, Helm RE, Krieger KH, et al. Impact of minimum hematocrit during cardiopulmonary bypass on mortality in patients undergoing coronary artery surgery. Circulation. 1997;96:II-194-9.
18. Murkin JM, Farrar JK, Tweed A, McKenzie NF, Guiraudon G. Cerebral autoregulation and flow/metabolism coupling during cardiopulmonary bypass: the influence of PaCO2. Anesthesia & Analgesia. 1987;66:825-32.
19. Bashein G, Townes BD, Nessly ML, et al. A randomized study of carbon dioxide management during hypothermic cardiopulmonary bypass. Anesthesiology. 1990;72:7-15.
20. Patel RL, Turtle, MR, Chambers DJ, et al. Alpha-stat acid-base regulation during cardiopulmonary bypass improves neuropsychologic outcome in patients undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1996;111:1267-79.
21. Murkin JM, Martzke JS, Buchan AM, Bentley C, Wong CJ. A randomized study of the influence of perfusion technique and pH management strategy in 316 patients undergoing coronary artery bypass surgery. II. Neurologic and cognitive outcomes. J Thorac Cardiovasc Surg. 1995;110:349-62.