Georg Grubhofer, Andrea M. Lassnigg, Barbara Schneider, Maria A

Slides:



Advertisements
Similar presentations
Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cerebral oxygenation and middle cerebral artery blood flow during carotid.
Advertisements

Assessment of Cerebral Blood Flow With Transcranial Doppler in Right Brachial Artery Perfusion Patients  Ümit Karadeniz, MD, Özcan Erdemli, MD, Mehmet.
Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Intraaortic Counterpulsation During Cardiopulmonary Bypass Impairs Distal Organ Perfusion  Steinar Lundemoen, MD, Venny Lise Kvalheim, MD, PhD, Øyvind.
Effect of pressure management during hypothermic selective cerebral perfusion on cerebral hemodynamics and metabolism in pigs  Peter L. Haldenwang, MD,
Comparative study of retrograde and selective cerebral perfusion with transcranial Doppler  Yoshihisa Tanoue, MD, Ryuji Tominaga, MD, Yoshie Ochiai, MD,
Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome  Kazuma Okamoto, MD, PhD, Shingo Arai, Noriyuki Hirabayashi, Masanori.
Coronary artery bypass grafting in patients with advanced left ventricular dysfunction  Gregory D Trachiotis, MD, William S Weintraub, MD, Thomas S Johnston,
Does Roller Pump–Induced Pulsatile CPB Perfusion Affect Microvascular Fluid Shifts and Tissue Perfusion?  Bjørg Elvevoll, MD, Steinar Lundemoen, MD, PhD,
Nitrous Oxide Method of Measuring Cerebral Blood Flow During Hypothermic Cardiopulmonary Bypass  Ian MacVeigh, David J Cook, Thomas A Orszulak, Richard.
Beatrix Weiss, David A. Horton  The Annals of Thoracic Surgery 
Regional low-flow perfusion provides somatic circulatory support during neonatal aortic arch surgery  Frank A Pigula, MD, Sanjiv K Gandhi, MD, Ralph D.
Modified Ultrafiltration Attenuates Dilutional Coagulopathy in Pediatric Open Heart Operations  Robert H Friesen, David N Campbell, David R Clarke, Michael.
Retrograde autologous priming of the cardiopulmonary bypass circuit reduces blood transfusion after coronary artery surgery  Subramaniam Balachandran,
James L Zellner, MD, Scott B Kribbs, BS, B
Effect of perfusion flow rate on tissue oxygenation in newborn piglets during cardiopulmonary bypass  Gregory Schears, MD, Steven E Schultz, MD, Jennifer.
Is kidney function altered by the duration of cardiopulmonary bypass?
Veno-venous bypass to prevent myocardial ischemia during right heart bypass operation in PA, IVS, and RV dependent coronary circulation  Toshihide Asou,
Leukocyte depletion during cardiac operation: a new approach through the venous bypass circuit  Y.John Gu, MD, PhD, A.J de Vries, MD, Paulien Vos, Piet.
Decreased exhaled nitric oxide may be a marker of cardiopulmonary bypass–induced injury  Maurice Beghetti, MD, Philip E Silkoff, Marlova Caramori, MD,
Increased intracerebral excitatory amino acids and nitric oxide after hypothermic circulatory arrest  Elaine E Tseng, MD, Malcolm V Brock, MD, Christopher.
Determination of optimum retrograde cerebral perfusion conditions
Brain SPECT imaging and neuropsychological testing in coronary artery bypass patients  R.Alan Hall, MD, David J Fordyce, PhD, Marie E Lee, MD, Brian Eisenberg,
Rebecca A. Russell, MD, Nancy S. Ghanayem, MD, Michael E
A computerized control system for cardiopulmonary bypass
Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction 
Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Reduced cerebral oxygen saturation measured by absolute cerebral oximetry during thoracic surgery correlates with postoperative complications  R. Kazan,
Continuous intra-jugular venous blood-gas monitoring with the Paratrend 7 during hypothermic cardiopulmonary bypass†  H. Endoh, T. Honda, S. Oohashi,
Regional Perfusion Abnormalities With Phenylephrine During Normothermic Bypass  Catherine O’Dwyer, Lee C Woodson, Brendan P Conroy, Cheng Y Lin, Donald.
Effects of selectin–sialyl Lewisx blockade on mesenteric microvascular permeability associated with cardiopulmonary bypass  Charles S. Cox, MD, Steven.
Masahiro Ono, MD, PhD, Charles Brown, MD, Jennifer K
Optimal blood flow for cooled brain at 20°C
Cerebral hyperthermia during cardiopulmonary bypass in adults
Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model  Akif Ündar, PhD, Takafumi Masai, MD, Shuang-Qiang Yang,
Effect of cerebral embolization on regional autoregulation during cardiopulmonary bypass in dogs  Hulya Sungurtekin, MD, Umar S Boston, MD, Thomas A Orszulak,
Cassandra Joffs, MD, Himali R. Gunasinghe, BS, Marlina M
Anticoagulation with bivalirudin during cardiopulmonary bypass in cardiac surgery  Julio C Vasquez, MD, Anna Vichiendilokkul, PharmD, Syed Mahmood, MD,
Platelet and Neutrophil Activation During Cardiac Surgical Procedures: Impact of Cardiopulmonary Bypass  David S Morse, David Adams, Barbarajean Magnani 
Kai Ihnken, MD  The Journal of Thoracic and Cardiovascular Surgery 
Temperature Dependence of Cerebral Blood Flow for Isolated Regions of the Brain During Selective Cerebral Perfusion in Pigs  Justus T. Strauch, MD, Peter.
High Flow Rates During Modified Ultrafiltration Decrease Cerebral Blood Flow Velocity and Venous Oxygen Saturation in Infants  Rosendo A. Rodriguez, MD,
C.Thomas Wass, David G Cable, Hartzell V Schaff, William L Lanier 
Insulin cardioplegia for elective coronary bypass surgery
Gut mucosal ischemia during normothermic cardiopulmonary bypass results from blood flow redistribution and increased oxygen demand  Weike Tao, MDa, Joseph.
Stephanie B. Clayton, PharmD, Jeffrey R. Acsell, CCP, Arthur J
Delayed impairment of cerebral oxygenation after deep hypothermic circulatory arrest in children  Eero J Pesonen, MD, Kaija I Peltola, MD, Reijo E Korpela,
The limits of detectable cerebral perfusion by transcranial doppler sonography in neonates undergoing deep hypothermic low-flow cardiopulmonary bypass 
Decreased oxygen consumption as a toxic manifestation of protamine sulfate reversal of heparin anticoagulation  Thomas W. Wakefield, MD, Ignacio Ucros,
Failure of retrograde cerebral perfusion to attenuate metabolic changes associated with hypothermic circulatory arrest  R.S. Bonser, FRCP, FRCSa, C.H.
Regional cerebral tissue blood flow measured by the colored microsphere method during retrograde cerebral perfusion  Keiji Oohara, MDa, Akihiko Usui,
Jared M. Slater, BAa, Thomas A. Orszulak, MDb, Kenton J
Sunil K. Ohri, Christopher W. Bowles, Robert T. Mathie, David R
Intermittent Warm Blood Cardioplegia Preserves Myocardial β-Adrenergic Receptor Function  Massimo Chello, Pasquale Mastroroberto, Vincenzo De Amicis,
P. Brassard, T. Seifert, N.H. Secher  British Journal of Anaesthesia 
Successful salvage of inferior vena cava rupture during reoperative repair for ascending aortic aneurysm  Chien-Chang Chen, MD, Shih-Rong Hsieh, MD  The.
Novel cerebral physiologic monitoring to guide low-flow cerebral perfusion during neonatal aortic arch reconstruction  Dean B. Andropoulos, MDa, Stephen.
Prospective randomized neurocognitive and S-100 study of hypothermic circulatory arrest, retrograde brain perfusion, and antegrade brain perfusion for.
Complete Unloading Alone May Not Adequately Protect the Left Ventricle
Advances in the heart-lung machine after John and Mary Gibbon
The Brain Uses Mostly Dissolved Oxygen During Profoundly Hypothermic Cardiopulmonary Bypass  Franklin Dexter, MD, PhD, Frank H Kern, MD, Bradley J Hindman,
Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient 
Cerebral microemboli during cardiopulmonary bypass: increased emboli during perfusionist interventions  Ruth L Taylor, MSc, Michael A Borger, MD, Richard.
Carbon dioxide management and the cerebral response to hemodilution during hypothermic cardiopulmonary bypass in dogs  David J Cook, MD, Umar S Boston,
Frank G. Scholl, MD, David Webb, CCP, Karla Christian, MD, Davis C
Influence of High- and Low-Dose Aprotinin on Activation of Hemostasis in Open Heart Operations  Wulf Dietrich, Karl Schöpf, Michael Spannagl, Marianne.
Biologically variable pulsation improves jugular venous oxygen saturation during rewarming  W.Alan C Mutch, MD, R.Keith Warrian, MD, Gerald M Eschun,
Karl A. Bocchieri, BS, CCP, S. Jacob Scheinerman, MD, L
Safety of low hematocrits during cardiopulmonary bypass
A randomized trial of antithrombin concentrate for treatment of heparin resistance  Mathew R Williams, MD, Alyssa B D’Ambra, BA, James R Beck, Talia B.
Presentation transcript:

Jugular Venous Bulb Oxygen Saturation Depends on Blood Pressure During Cardiopulmonary Bypass  Georg Grubhofer, Andrea M. Lassnigg, Barbara Schneider, Maria A. Rajek, Thomas Pernerstorfer, Michael J. Hiesmayr  The Annals of Thoracic Surgery  Volume 65, Issue 3, Pages 653-657 (March 1998) DOI: 10.1016/S0003-4975(97)01354-4

Fig. 1 The effect of cerebral perfusion pressure (CPP) on jugular venous bulb oxygenation saturation (SjvO2) during hypothermic cardiopulmonary bypass in 17 individual patients. The left side of the graph indicates changes in SjvO2 after an increase in CPP induced by phenylephrine infusion, and the right side shows the relation of SjvO2 and CPP after a decrease in CPP to baseline levels. The Annals of Thoracic Surgery 1998 65, 653-657DOI: (10.1016/S0003-4975(97)01354-4)

Fig. 2 Plot of a continuous recording of measured variables in a typical case. Immediately after phenylephrine infusion, cerebral perfusion pressure (CPP) and jugular venous bulb oxygen saturation (SjvO2) increased. All temperatures remained constant over the 20-minute study period. At the end of the recording, CPP and SjvO2 reached stable levels similar to baseline values, suggesting an insignificant effect of changes in brain temperature on measured SjvO2 values. (CPB = cardiopulmonary bypass; T nas = nasopharyngeal temperature; T vesic = vesical temperature.) The Annals of Thoracic Surgery 1998 65, 653-657DOI: (10.1016/S0003-4975(97)01354-4)