| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1999;68:34-39
© 1999 The Society of Thoracic Surgeons
a Department of Anesthesiology, Saitama Prefectural Ohara-Cardiovascular Center, Saitama, Japan
Address reprint requests to Dr Kadoi, Department of Anesthesiology and Reanimatology, Gunma University, School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371, Japan
Background. In this study, we assessed the effects of normothermia and hypothermia during cardiopulmonary bypass (CPB) both on internal jugular venous oxygen saturation (SjvO2) and the regional cerebral oxygenation state (rSO2) estimated by near infrared spectroscopy (NIRS).
Methods. Thirty patients scheduled for elective coronary artery bypass graft surgery (CABG) were randomly divided into two groups. Group 1 (n = 15) underwent surgery for normothermic (> 35°C) CPB, and group 2 (n = 15) underwent surgery for hypothermic (30°C) CPB, and alpha-stat regulation was applied. A 4.0-French fiberoptic oximetry oxygen saturation catheter was inserted into the right jugular bulb to continuously monitor the SjvO2 value. To estimate the rSO2 state, a spectrophotometer probe was attached to the mid-forehead. SjvO2 and rSO2 values were then collected simultaneously using a computer.
Results. Neither the cerebral desaturation time (duration during SjvO2 value below 50%), nor the ratio of the cerebral desaturation time to the total CPB time significantly differed (normothermic group: 18 ± 6 min, 15 ± 6%; hypothermic group: 17 ± 6 min, 13 ± 6%, respectively). The rSO2 value in the normothermic group decreased during the CPB period compared with the pre-CPB period. The rSO2 value in the hypothermic group did not change throughout the perioperative period.
Conclusions. These findings suggest that near infrared spectroscopy might be sensitive enough to detect subtle changes in regional cerebral oxygenation.
This article has been cited by other articles:
|
|
 |
|
  A. Liebold, A. Khosravi, B. Westphal, C. Skrabal, Y.H. Choi, C. Stamm, A. Kaminski, A. Alms, T. Birken, D. Zurakowski, et al. Effect of closed minimized cardiopulmonary bypass on cerebral tissue oxygenation and microembolization J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 268 - 276. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M.-C. Taillefer and A. Y. Denault Cerebral near-infrared spectroscopy in adult heart surgery: systematic review of its clinical efficacy: [La spectroscopie cerebrale par infrarouge en cardiochirurgie chez l'adulte : une etude systematique de son efficacite clinique] Can J Anesth, January 1, 2005; 52(1): 79 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. P. Talpahewa, A. T. Lovell, G. D. Angelini, and R. Ascione Effect of cardiopulmonary bypass on cortical cerebral oxygenation during coronary artery bypass grafting Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 676 - 681. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. M. Hoffman, E. A. Stuth, R. D. Jaquiss, P. L. Vanderwal, S. R. Staudt, T. J. Troshynski, N. S. Ghanayem, and J. S. Tweddell Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 223 - 233. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Kadoi, S. Saito, F. Kunimoto, F. Goto, and N. Fujita Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction Ann. Thorac. Surg., March 1, 2003; 75(3): 840 - 846. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Sugawara, T. Sueda, K. Orihashi, and K. Okada Surgical treatment of atypical aortic coarctation associated with occlusion of all arch vessels in Takayasu's disease Eur. J. Cardiothorac. Surg., November 1, 2002; 22(5): 836 - 838. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Kadoi, S. Saito, D. Yoshikawa, F. Goto, N. Fujita, and F. Kunimoto Increasing Mean Arterial Blood Pressure Has No Effect on Jugular Venous Oxygen Saturation in Insulin-Dependent Patients During Tepid Cardiopulmonary Bypass Anesth. Analg., August 1, 2002; 95(2): 266 - 272. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kadoi, S. Saito, F. Goto, and N. Fujita Slow Rewarming Has No Effects on the Decrease in Jugular Venous Oxygen Hemoglobin Saturation and Long-Term Cognitive Outcome in Diabetic Patients Anesth. Analg., June 1, 2002; 94(6): 1395 - 1401. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T.-A. Miyamoto and K.-J. Miyamoto Monitoring adequacy of brain oxygenation Ann. Thorac. Surg., July 1, 2000; 70(1): 336 - 337. [Full Text] [PDF]
|
|
|
|
|
|
Y. Kadoi and S. Saito A possible explanation for the failure to improve the internal jugular venous oxygen saturation with balloon pump-induced pulsatile perfusion J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 856 - 857. [Full Text]
|
|
|
|
|
|
N. Okano, R.-i. Owada, N. Fujita, Y. Kadoi, S. Saito, and F. Goto Cerebral oxygenation is better during mild hypothermic than normothermic cardiopulmonary bypass Can J Anesth, February 1, 2000; 47(2): 131 - 136. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
