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