Microcirculatory Alterations in Cardiac Surgery: Effects of Cardiopulmonary Bypass and Anesthesia

Annals of Thoracic Surgery

Volumn 88, Issue 5, 2009, Pages 1396-1403

  De Backer, Daniel ^a   Dubois, Marc Jacques ^a   Schmartz, Denis ^a   Koch, Marc ^a   Ducart, Anne ^a   Barvais, Luc ^a   Vincent, Jean Louis ^a  

^a ERASME HOSPITAL   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

CISATRACURIUM; DOBUTAMINE; LACTIC ACID; NORADRENALIN; PROPOFOL; REMIFENTANIL;

ADULT; AGED; ANESTHESIA; ANESTHESIA INDUCTION; ARTICLE; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CONTROLLED STUDY; CORE TEMPERATURE; DISEASE SEVERITY; FEMALE; HEART SURGERY; HEMODYNAMICS; HOSPITAL ADMISSION; HUMAN; IMAGING; INTENSIVE CARE UNIT; LACTATE BLOOD LEVEL; LOW DRUG DOSE; MALE; MICROCIRCULATION; PERFUSION; POLARIZATION SPECTRAL IMAGING; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RECOVERY ROOM; SUBLINGUAL GLAND; THYROIDECTOMY; METHODOLOGY; MICROVASCULATURE; MIDDLE AGED; PATHOPHYSIOLOGY;

AGED; ANESTHESIA; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; FEMALE; HUMANS; MALE; MICROCIRCULATION; MICROVESSELS; MIDDLE AGED;

EID: 70449717413     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.athoracsur.2009.07.002     Document Type: Article

References (38)

1. Patila T., Kukkonen S., Vento A., Pettila V., and Suojaranta-Ylinen R. Relation of the sequential organ failure assessment score to morbidity and mortality after cardiac surgery. Ann Thorac Surg 82 (2006) 2072-2078
2. Boldt J., Zickmann B., Rapin J., Hammermann H., Dapper F., and Hempelmann G. Influence of volume replacement with different HES-solutions on microcirculatory blood flow in cardiac surgery. Acta Anaesthesiol Scand 38 (1994) 432-438
3. Sicsic J.C., Duranteau J., Corbineau H., et al. Gastric mucosal oxygen delivery decreases during cardiopulmonary bypass despite constant systemic oxygen delivery. Anesth Analg 86 (1998) 455-460
4. Gruber E.M., Schwarz B., Germann R., Breuss M., Bonatti J., and Hasibeder W. Reactive hyperemia in skin after cardiopulmonary bypass. J Cardiothorac Vasc Anesth 14 (2000) 161-165
5. De Backer D., Creteur J., Preiser J.C., Dubois M.J., and Vincent J.L. Microvascular blood flow is altered in patients with sepsis. Am J Respir Crit Care Med 166 (2002) 98-104
6. De Backer D., Creteur J., Dubois M.J., Sakr Y., and Vincent J.L. Microvascular alterations in patients with acute severe heart failure and cardiogenic shock. Am Heart J 147 (2004) 91-99
7. Bauer A., Kofler S., Thiel M., Eifert S., and Christ F. Monitoring of the sublingual microcirculation in cardiac surgery using orthogonal polarization spectral imaging: preliminary results. Anesthesiology 107 (2007) 939-945
8. Elbers P.W., Ozdemir A., van Iterson M., van Dongen E.P.A., and Ince C. Microcirculatory imaging in cardiac anesthesia: ketanserin reduces blood pressure but not perfused capillary density. J Cardiothor Vasc Anaesth 23 (2009) 95-101
9. Koch M., De Backer D., Vincent J.L., Barvais L., Hennart D., and Schmartz D. Effects of propofol on human microcirculation. Br J Anaesth 101 (2008) 473-478
10. Wan S., Leclerc J.L., and Vincent J.L. Inflammatory response to cardiopulmonary bypass: mechanisms involved and possible therapeutic strategies. Chest 112 (1997) 676-692
11. Riddington D.W., Venkatesh B., Boivin C.M., et al. Intestinal permeability, gastric intramucosal pH, and systemic endotoxemia in patients undergoing cardiopulmonary bypass. JAMA 275 (1996) 1007-1012
12. Gu Y.J., Mariani M.A., van Oeveren W., Grandjean J.G., and Boonstra P.W. Reduction of the inflammatory response in patients undergoing minimally invasive coronary artery bypass grafting. Ann Thorac Surg 65 (1998) 420-424
13. Fransen E., Maessen J., Dentener M., Senden N., Geskes G., and Buurman W. Systemic inflammation present in patients undergoing CABG without extracorporeal circulation. Chest 113 (1998) 1290-1295
14. Buchele G.L., Silva E., Ospina-Tascon G., Vincent J.-L., and De Backer D. Effects of hydrocortisone on microcirculatory alterations in patients with septic shock. Crit Care Med 37 (2009) 1341-1347
15. Knaus W.A., Draper E.A., Wagner D.P., and Zimmerman J.E. APACHE II: a severity of disease classification system. Crit Care Med 13 (1985) 818-829
16. Vincent J.L., Moreno J., Takala J., et al. The SOFA (sepsis-related organ failure assessment) score to describe organ dysfunction/failure. Intensive Care Med 22 (2000) 707-710
17. De Backer D., Hollenberg S., Boerma C., et al. How to evaluate the microcirculation: report of a round table conference. Crit Care 11 (2007) R101
18. De Backer D., Creteur J., Dubois M.J., et al. The effects of dobutamine on microcirculatory alterations in patients with septic shock are independent of its systemic effects. Crit Care Med 34 (2006) 403-408
19. 2 consumption during sepsis: role of heterogeneous capillary spacing and blood flow. Am J Physiol Heart Circ Physiol 290 (2006) H2277-H2285
20. Walley K.R. Heterogeneity of oxygen delivery impairs oxygen extraction by peripheral tissues: theory. J Appl Physiol 81 (1996) 885-894
21. Schmid F.X., Floerchinger B., Vudattu N.K., et al. Direct evidence of endothelial injury during cardiopulmonary bypass by demonstration of circulating endothelial cells. Perfusion 21 (2006) 133-137
22. Ekestrom S., Koul B.L., and Sonnenfeld T. Decreased red cell deformability following open-heart surgery. Scand J Thorac Cardiovasc Surg 17 (1983) 41-44
23. Volk T., Schmutzler M., Engelhardt L., et al. Influence of aminosteroid and glucocorticoid treatment on inflammation and immune function during cardiopulmonary bypass. Crit Care Med 29 (2001) 2137-2142
24. Brookes Z.L.S., Brown N.J., and Reilly C.S. Intravenous anaesthesia and the rat microcirculation: the dorsal microcirculation chamber. Br J Anaesth 85 (2000) 901-903
25. Schumacher J., Porksen M., and Klotz K.F. Effects of isoflurane, enflurane, and halothane on skeletal muscle microcirculation in the endotoxemic rat. J Crit Care 16 (2001) 1-7
26. Lamblin V., Favory R., Boulo M., and Mathieu D. Microcirculatory alterations induced by sedation in intensive care patients. Effects of midazolam alone and in association with sufentanil. Crit Care 10 (2006) R176
27. De Blasi R.A., Palmisani S., Boezi M., et al. Effects of remifentanil-based general anaesthesia with propofol or sevoflurane on muscle microcirculation as assessed by near-infrared spectroscopy. Br J Anaesth 101 (2008) 171-177
28. Kamler M., Goedeke J., Pizanis N., Milekhin V., Schade F.U., and Jakob H. In vivo effects of hypothermia on the microcirculation during extracorporeal circulation. Eur J Cardiothorac Surg 28 (2005) 259-265
29. Orime Y., Shiono M., Hata H., et al. Cytokine and endothelial damage in pulsatile and nonpulsatile cardiopulmonary bypass. Artif Organs 23 (1999) 508-512
30. Van der Linden P.J., De Hert S.G., Belisle S., et al. Critical oxygen delivery during cardiopulmonary bypass in dogs: pulsatile vs. non-pulsatile blood flow. Eur J Anaesthesiol 23 (2006) 10-16
31. Friesenecker B.E., Tsai A.G., Martini J., et al. Arteriolar vasoconstrictive response: comparing the effects of arginine vasopressin and norepinephrine. Crit Care 10 (2006) R75
32. Nakajima Y., Baudry N., Duranteau J., and Vicaut E. Effects of vasopressin, norepinephrine and L-arginine on intestinal microcirculation in endotoxemia. Crit Care Med 34 (2006) 1752-1757
33. Secchi A., Wellmann R., Martin E., and Schmidt H. Dobutamine maintains intestinal villus blood flow during normotensive endotoxemia: an intravital microscopic study in the rat. J Crit Care 12 (1997) 137-141
34. Trzeciak S., McCoy J.V., Phillip D.R., et al. Early increases in microcirculatory perfusion during protocol-directed resuscitation are associated with reduced multi-organ failure at 24 h in patients with sepsis. Intensive Care Med 34 (2008) 2210-2217
35. Sakr Y., Dubois M.J., De Backer D., Creteur J., and Vincent J.-L. Persistent microvasculatory alterations are associated with organ failure and death in patients with septic shock. Crit Care Med 32 (2004) 1825-1831
36. Jhanji S., Lee C., Watson D., Hinds C., and Pearse R.M. Microvascular flow and tissue oxygenation after major abdominal surgery: association with post-operative complications. Intensive Care Med 35 (2009) 671-677
37. Boerma E.C., van der Voort P.H., Spronk P.E., and Ince C. Relationship between sublingual and intestinal microcirculatory perfusion in patients with abdominal sepsis. Crit Care Med 35 (2007) 1055-1060
38. Bracht H., Krejci V., Hiltebrand L., et al. Orthogonal polarization spectroscopy to detect mesenteric hypoperfusion. Intensive Care Med 34 (2008) 1883-1890