The Brain Uses Mostly Dissolved Oxygen During Profoundly Hypothermic Cardiopulmonary Bypass  Franklin Dexter, MD, PhD, Frank H Kern, MD, Bradley J Hindman,

Slides:



Advertisements
Similar presentations
PH-Stat Versus α-Stat Acid–Base Management Strategy During Hypothermic Circulatory Arrest Combined With Embolic Brain Injury  Sebastian Dahlbacka, MS,
Advertisements

Intraaortic Counterpulsation During Cardiopulmonary Bypass Impairs Distal Organ Perfusion  Steinar Lundemoen, MD, Venny Lise Kvalheim, MD, PhD, Øyvind.
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.
Anaerobic Metabolism During Cardiopulmonary Bypass: Predictive Value of Carbon Dioxide Derived Parameters  Marco Ranucci, MD, Giuseppe Isgrò, MD, Federica.
Regulation of Brain Cell Death and Survival After Cardiopulmonary Bypass  Tatiana Zaitseva, PhD, Steven Schultz, MD, Gregory Schears, MD, Peter Pastuszko,
PH-Stat Versus α-Stat Acid–Base Management Strategy During Hypothermic Circulatory Arrest Combined With Embolic Brain Injury  Sebastian Dahlbacka, MS,
Georg Grubhofer, Andrea M. Lassnigg, Barbara Schneider, Maria A
Single-Ventricle Physiology Reduces Cerebral Oxygen Delivery in a Piglet Model  Marco Ricci, MD, Pierluca Lombardi, MD, Alvaro Galindo, MD, Ernesto Coscarella,
Peripheral detection of S100β during cardiothoracic surgery: what are we really measuring?  Vincent Fazio, MS, Sunil K Bhudia, MD, Nicola Marchi, PhD,
Effect of hemofiltrated whole blood pump priming on hemodynamics and respiratory function after the arterial switch operation in neonates  Mitsugi Nagashima,
Bashir M Matata, PhD, Andrzej W Sosnowski, MD, Manuel Galiñanes 
Effect of perfusion flow rate on tissue oxygenation in newborn piglets during cardiopulmonary bypass  Gregory Schears, MD, Steven E Schultz, MD, Jennifer.
Emergency Coronary Artery Bypass Grafting Can Be Performed Safely Without Cardiopulmonary Bypass in Selected Patients  Faraz Kerendi, MD, John D. Puskas,
Response of Brain Oxygenation and Metabolism to Deep Hypothermic Circulatory Arrest in Newborn Piglets: Comparison of pH-Stat and Alpha-Stat Strategies 
Selective convective brain cooling during hypothermic cardiopulmonary bypass in dogs  C.Thomas Wass, MD, Julian R Waggoner, MD, David G Cable, MD, Hartzell.
Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 
Performing Coronary Artery Bypass Grafting Off-Pump May Compromise Long-Term Survival in a Veteran Population  Faisal G. Bakaeen, MD, Danny Chu, MD, Rosemary.
Increased intracerebral excitatory amino acids and nitric oxide after hypothermic circulatory arrest  Elaine E Tseng, MD, Malcolm V Brock, MD, Christopher.
Torn Ascending Aorta Missed by Transesophageal Echocardiography
Comparison of bovine and porcine heparin in heparin antibody formation after cardiac surgery  John L Francis, PhD, George J Palmer, MD, Rebecca Moroose,
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,
Cardiac Output Augmentation During Hypoxemia Improves Cerebral Metabolism After Hypothermic Cardiopulmonary Bypass  Jess M. Schultz, MD, Tara Karamlou,
Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction 
Solange Guizilini, PhD, Walter J. Gomes, MD, PhD, Sonia M
Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response  Martin Westerberg, MD, Anders.
Masahiro Ono, MD, PhD, Charles Brown, MD, Jennifer K
Optimal blood flow for cooled brain at 20°C
Tom Waterbury, MPS, CCP, LP, Thomas J
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,
Anticoagulation with bivalirudin during cardiopulmonary bypass in cardiac surgery  Julio C Vasquez, MD, Anna Vichiendilokkul, PharmD, Syed Mahmood, MD,
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Platelet and Neutrophil Activation During Cardiac Surgical Procedures: Impact of Cardiopulmonary Bypass  David S Morse, David Adams, Barbarajean Magnani 
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 
The association of lowest hematocrit during cardiopulmonary bypass with acute renal injury after coronary artery bypass surgery  Madhav Swaminathan, MD,
Delayed impairment of cerebral oxygenation after deep hypothermic circulatory arrest in children  Eero J Pesonen, MD, Kaija I Peltola, MD, Reijo E Korpela,
Neurocognitive Function and Cerebral Emboli: Randomized Study of On-Pump Versus Off-Pump Coronary Artery Bypass Surgery  Reza Motallebzadeh, MRCS, J.
The limits of detectable cerebral perfusion by transcranial doppler sonography in neonates undergoing deep hypothermic low-flow cardiopulmonary bypass 
Inhaled nitric oxide for adult respiratory distress syndrome after pulmonary resection  Douglas J Mathisen, MD, Elbert Y Kuo, Chiwon Hahn, MD, Ashby C.
Lynne A. Skaryak, MDa (by invitation), Paul M
Marek A. Deja, MD, Stanisław Woś, MD, PhD, Krzysztof S
Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG  Jan T. Christenson, MD, PhD, Pierre Badel, MD,
Minimally invasive coronary bypass without general endotracheal anesthesia  Marco A Zenati, MD, Juhan Paiste, MD, John P Williams, MD, Gail Strindberg,
Novel cerebral physiologic monitoring to guide low-flow cerebral perfusion during neonatal aortic arch reconstruction  Dean B. Andropoulos, MDa, Stephen.
Critical cerebral perfusion pressure during tepid heart operations in dogs  Walter Plöchl, MD, David J. Cook, MD, Thomas A. Orszulak, MD, Richard C. Daly,
Platelet-activating factor receptor antagonism improves cerebral recovery after circulatory arrest  Stephen M Langley, Paul J Chai, MD, James J Jaggers,
Predicting Early Coronary Artery Bypass Graft Failure by Intraoperative Transit Time Flow Measurement  Yoshiyuki Tokuda, MD, Min-Ho Song, MD, PhD, Yuichi.
Off-pump grafting of the main circumflex coronary artery in the atrioventricular groove via sternotomy  Thomas A Vassiliades, MD  The Annals of Thoracic.
Antegrade cerebral perfusion with cold blood: a 13-year experience
Pulmonary artery banding before Norwood procedure
Perfusing the Cold Brain: Optimal Neuroprotection for Aortic Surgery
Gary L Grunkemeier, PhD, Ruyun Jin, MD  The Annals of Thoracic Surgery 
Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD 
Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy  Masao Nakata, MD, Hideyuki Saeki, MD, Nobuji Yokoyama, MD, Akira.
Carbon dioxide management and the cerebral response to hemodilution during hypothermic cardiopulmonary bypass in dogs  David J Cook, MD, Umar S Boston,
An Assay to Monitor Bivalirudin Levels on Cardiopulmonary Bypass
Frank G. Scholl, MD, David Webb, CCP, Karla Christian, MD, Davis C
Effect of hypothermia on cerebral blood flow and metabolism in the pig
William L. Holman, MDa, Russell D. Spruell, BSEEa, Edward R
Biologically variable pulsation improves jugular venous oxygen saturation during rewarming  W.Alan C Mutch, MD, R.Keith Warrian, MD, Gerald M Eschun,
Left Ventricular End-Diastolic Pressure Predicts Survival in Coronary Artery Bypass Graft Surgery Patients  Jeevan Nagendran, MD, PhD, Colleen M. Norris,
When to discontinue extracorporeal membrane oxygenation for postcardiotomy support  Steven M Fiser, MD, Curtis G Tribble, MD, Aditya K Kaza, MD, Stewart.
Safety of low hematocrits during cardiopulmonary bypass
Y.John Gu, MD, PhD, Piet W. Boonstra, MD, PhD, Willem van Oeveren, PhD 
Harvey Edward Garrett, MD, Bradley A. Wolf, MD 
Presentation transcript:

The Brain Uses Mostly Dissolved Oxygen During Profoundly Hypothermic Cardiopulmonary Bypass  Franklin Dexter, MD, PhD, Frank H Kern, MD, Bradley J Hindman, MD, William J Greeley, MD  The Annals of Thoracic Surgery  Volume 63, Issue 6, Pages 1725-1729 (June 1997) DOI: 10.1016/S0003-4975(97)00297-X

Fig. 1 Percent of cerebral oxygen delivery in dissolved form (ie, percent of arterial oxygen content) versus arterial oxygen partial pressure (PaO2) and hemoglobin concentration. Hemoglobin concentration (along the top of the plot) has units of grams per 100 milliliters. The Annals of Thoracic Surgery 1997 63, 1725-1729DOI: (10.1016/S0003-4975(97)00297-X)

Fig. 2 Fraction of oxygen consumed by the brain obtained from dissolved oxygen versus percentage of oxygen delivered to the brain in dissolved form, nasopharyngeal temperature, and pump flow rate. Measurements represented by open and filled circles correspond to “full” (>70 mL · kg−1 · min−1) and “low” (70 mL · kg−1 · min−1) pump flow rates. The percentage of cerebral oxygen delivery (CMRO2) in dissolved form can be related to hemoglobin concentration and arterial oxygen partial pressure using Fig. 1. The Annals of Thoracic Surgery 1997 63, 1725-1729DOI: (10.1016/S0003-4975(97)00297-X)