Descending aortic blood flow during aortic cross-clamp indicates postoperative splanchnic perfusion and gastrointestinal function in patients undergoing.

Slides:

Advertisements

Similar presentations

Anaesthesia and epilepsy

Advertisements

Comparison of continuous non-invasive finger arterial pressure monitoring with conventional intermittent automated arm arterial pressure measurement in.

Five algorithms that calculate cardiac output from the arterial waveform: a comparison with Doppler ultrasound J. Zhang, L.A.H. Critchley, L. Huang

When fasted is not empty: a retrospective cohort study of gastric content in fasted surgical patients† P Van de Putte, L Vernieuwe, A Jerjir, L Verschueren,

Comparison of cardiac outputs during major surgery using the Deltex CardioQ oesophageal Doppler monitor and the Novametrix-Respironics NICO: A prospective.

R. Kaw, F. Chung, V. Pasupuleti, J. Mehta, P.C. Gay, A.V. Hernandez

Perfusion index derived from a pulse oximeter can predict the incidence of hypotension during spinal anaesthesia for Caesarean delivery S Toyama, M Kakumoto,

Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,

Is comparison of changes in cardiac output, assessed by different methods, better than only comparing cardiac output to the reference method? N.W.F.

Randomized, double-blind comparison of oral aprepitant alone compared with aprepitant and transdermal scopolamine for prevention of postoperative nausea.

Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?† A.M. Taha, A.M. Abd-Elmaksoud

Effect of adductor canal block on pain in patients with severe pain after total knee arthroplasty: a randomized study with individual patient analysis

Tracheal intubation by trainees does not alter the incidence or duration of postoperative sore throat and hoarseness: a teaching hospital-based propensity.

K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo

Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial K. Dahlberg, A. Philipsson,

M. Niesters, R. Mahajan, E. Olofsen, M. Boom, S. Garcia del Valle, L

Comparison between an uncalibrated pulse contour method and thermodilution technique for cardiac output estimation in septic patients F. Franchi, R.

High concordance between expert anaesthetists’ actions and advice of decision support system in achieving oxygen delivery targets in high-risk surgery.

Non-invasive continuous arterial pressure and cardiac index monitoring with Nexfin after cardiac surgery M.O. Fischer, R. Avram, I. Cârjaliu, M. Massetti,

Changes in sevoflurane plasma concentration with delivery through the oxygenator during on-pump cardiac surgery R. Nitzschke, J. Wilgusch, J.F. Kersten,

Does the prophylactic administration of magnesium sulphate to patients undergoing thoracotomy prevent postoperative supraventricular arrhythmias? A randomized.

M. Ono, B. Joshi, K. Brady, R. B. Easley, Y. Zheng, C. Brown, W

N-terminal pro-B-type natriuretic peptide concentrations and long-term outcome after cardiac surgery: a prospective cohort study B.H. Cuthbertson, B.L.

M. Bojan, S. Vicca, C. Boulat, S. Gioanni, P. Pouard

Delivery of tidal volume from four anaesthesia ventilators during volume-controlled ventilation: a bench study† G. Wallon, A. Bonnet, C. Guérin British.

M.A. Olympio, R. Whelan, R.P.A. Ford, I.C.M. Saunders

Accuracy of non-invasive measurement of haemoglobin concentration by pulse co- oximetry during steady-state and dynamic conditions in liver surgery J.J.

Raised serum cardiac troponin I concentrations predict hospital mortality in intensive care unit patients† T. Reynolds, M. Cecconi, P. Collinson, A.

A. Absalom, D. Amutike, A. Lal, M. White, G.N.C. Kenny

A. Dyson, S. Cone, M. Singer, G.L. Ackland

Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation J. Dawson, M. Jones, N. Hirschauer,

Do team processes really have an effect on clinical performance

A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady

Stroke volume optimization in elective bowel surgery: a comparison between pulse power wave analysis (LiDCOrapid) and oesophageal Doppler (CardioQ) J.

Validation of pulse pressure variation and corrected flow time as predictors of fluid responsiveness in patients in the prone position S.-Y. Yang, J.-K.

Impact of preoperative serum creatinine on short- and long-term mortality after cardiac surgery: a cohort study M.H. Bernardi, D. Schmidlin, A. Schiferer,

R Kruisselbrink, C Arzola, T Jackson, A Okrainec, V Chan, A Perlas

Effect of preoperative fever-range whole-body hyperthermia on immunological markers in patients undergoing colorectal cancer surgery† I Sulyok, E Fleischmann,

Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine T. Schisler, H. Huttunen,

S. Pilge, D. Jordan, M. Kreuzer, E.F. Kochs, G. Schneider

Patient state index vs bispectral index as measures of the electroencephalographic effects of propofol M Soehle, M Kuech, M Grube, S Wirz, S Kreuer,

Bispectral index is related to the spread of spinal sensory block in patients with combined spinal and general anaesthesia R Iida, K Iwasaki, J Kato,

Distraction and interruption in anaesthetic practice

Predictive performance of the modified Marsh and Schnider models for propofol in underweight patients undergoing general anaesthesia using target-controlled.

S.G. Sakka, K. Reinhart, A. Meier-Hellmann

Titration of electroconvulsive therapy: the use of rocuronium and sugammadex with adjunctive laryngeal mask T.K.F. Chow British Journal of Anaesthesia

Predictive value of pulse pressure variation for fluid responsiveness in septic patients using lung-protective ventilation strategies F.G.R. Freitas,

Visual metaphors on anaesthesia monitors do not improve anaesthetists' performance in the operating theatre K. van Amsterdam, F. Cnossen, A. Ballast,

Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.

Pressure recording analytical method for measuring cardiac output in critically ill children: a validation study R. Saxena, A. Durward, N.K. Puppala,

Corrigendum British Journal of Anaesthesia

Tei index to assess perioperative left ventricular systolic function in patients undergoing mitral valve repair N. Mabrouk-Zerguini, P. Léger, S. Aubert,

Influence of increased left ventricular myocardial mass on early and late mortality after cardiac surgery M.M. Weiner, D.L. Reich, H.M. Lin, M. Krol,

Teamwork, communication, and anaesthetic assistance in Scotland

Multivariate model for predicting postoperative blood loss in children undergoing cardiac surgery: a preliminary study V. Savan, A. Willems, D. Faraoni,

Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy S. Metzelder,

R Hofmeyr, A Myburgh British Journal of Anaesthesia

A.J. Ross, N. Kodate, J.E. Anderson, L. Thomas, P. Jaye

Anaesthesia and epilepsy

Sunil K. Ohri, Christopher W. Bowles, Robert T. Mathie, David R

Using the STOP-BANG questionnaire to predict hypoxaemia in patients recovering from noncardiac surgery: a prospective cohort analysis A.K. Khanna, D.I.

Association between preoperative statin therapy and postoperative change in glomerular filtration rate in endovascular aortic surgery M.Y. Argalious,

Automated reminders decrease postoperative nausea and vomiting incidence in a general surgical population F.O. Kooij, N. Vos, P. Siebenga, T. Klok, M.W.

Modern anaesthesia training: is it good enough?

Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery H.G. Wakeling, M.R. McFall,

Voltage changes in the lithium dilution cardiac output sensor after exposure to blood from horses given xylazine T.D. Ambrisko, Y. Moens British Journal.

C.M. Chalmers, A.M. Bal British Journal of Anaesthesia

The effect of aorta unfolding and remodelling on oesophageal Doppler readings as probe depth is varied J. Zhang, L.A.H. Critchley, L. Huang British.

H.A. Leather, P.F. Wouters British Journal of Anaesthesia

R. Parke, S. McGuinness, R. Dixon, A. Jull

Presentation transcript:

Descending aortic blood flow during aortic cross-clamp indicates postoperative splanchnic perfusion and gastrointestinal function in patients undergoing aortic reconstruction Y. Kotake, T. Yamada, H. Nagata, J. Takeda, H. Shimizu British Journal of Anaesthesia Volume 108, Issue 6, Pages 936-942 (June 2012) DOI: 10.1093/bja/aes095 Copyright © 2012 The Author(s) Terms and Conditions

Fig 1 Flow diagram. GI, gastrointestinal; ODM, oesophageal Doppler monitor. British Journal of Anaesthesia 2012 108, 936-942DOI: (10.1093/bja/aes095) Copyright © 2012 The Author(s) Terms and Conditions

Fig 2 Correlation between cardiac index and instantaneous DABF index before, during aortic XC, and after XC release. The regression line is also demonstrated in this figure. The blue broken, green solid, and pink dotted lines represent the relationships before, during, and after aortic XC, respectively. XC, aortic cross-clamp; DABFi, descending aortic blood flow index calculated with oesophageal Doppler monitor; CI-PDD, cardiac index measured with pulse dye densitometry. British Journal of Anaesthesia 2012 108, 936-942DOI: (10.1093/bja/aes095) Copyright © 2012 The Author(s) Terms and Conditions

Fig 3 Relationship between the mean DABF index during aortic XC and gastric intramucosal pH after aortic XC release. Each regression line represents the relationship in reduced DABFi range and preserved DABFi range, respectively. The intersection of these two lines represents the critical DABFi value where steep decline of pHi occurs. pHi, gastric intramucosal pH; XC, aortic cross-clamp; DABFi, descending aortic blood flow index calculated with oesophageal Doppler monitor. British Journal of Anaesthesia 2012 108, 936-942DOI: (10.1093/bja/aes095) Copyright © 2012 The Author(s) Terms and Conditions

Fig 4 Relationship between time-flow integral of DABF index below the critical value and gastric intramucosal pH after aortic XC release. The critical value of DABFi was defined as 0.82 litre min−1 m−2. pHi, gastric intramucosal pH; XC, aortic cross-clamp; DABFi, descending aortic blood flow index calculated with oesophageal Doppler monitor. British Journal of Anaesthesia 2012 108, 936-942DOI: (10.1093/bja/aes095) Copyright © 2012 The Author(s) Terms and Conditions

Fig 5 Relationship between the mean DABF index during aortic XC and the postoperative day on which patients resumed solid food intake. Regression line is also demonstrated. XC, aortic cross-clamp; DABFi, descending aortic blood flow index calculated with oesophageal Doppler monitor. British Journal of Anaesthesia 2012 108, 936-942DOI: (10.1093/bja/aes095) Copyright © 2012 The Author(s) Terms and Conditions