Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1984-12-18
pubmed:abstractText
Prostacyclin (PGI2) has been suggested for use in cardiopulmonary bypass (CPB) because of its positive effects on platelet number and function. Fifty patients who underwent coronary artery bypass grafting using a bubble oxygenator received heparin, 3 mg per kilogram of body weight, and then were randomly assigned to receive PGI2, 25 ng/kg/min, beginning 5 minutes before and until the end of CPB (26 patients) or a placebo (24 patients). Both groups were similar in sex, age, heparin dose, protamine dose, and CPB time. During CPB, mean arterial pressure fell significantly with PGI2 (76 +/- 2 mm Hg to 53 +/- 2 mm Hg; p less than 0.05) and necessitated pressor substances. Platelet counts fell significantly in both groups with the start of CPB, but after 60 minutes were similar in both groups (118 +/- 9 X 10(3) versus 130 +/- 8 X 10(3); not significant [NS]) and were unchanged 3 hours after CPB. Total chest tube output was 647 +/- 51 ml (placebo group) versus 576 +/- 34 ml (PGI2 group) (NS); 18 of the patients given PGI2 required 26 transfusions compared with 16 transfusions in 8 of the patients given a placebo (p less than 0.05). In PGI2 patients, arterial oxygen tension on 100% oxygen fell from 281 +/- 18 mm Hg before CPB to 223 +/- 17 mm Hg immediately after CPB (p less than 0.05). The placebo patients did not show a change in this variable.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0003-4975
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
514-9
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:6388516-6-Ketoprostaglandin F1 alpha, pubmed-meshheading:6388516-Blood Pressure, pubmed-meshheading:6388516-Blood Transfusion, pubmed-meshheading:6388516-Cardiopulmonary Bypass, pubmed-meshheading:6388516-Clinical Trials as Topic, pubmed-meshheading:6388516-Coronary Artery Bypass, pubmed-meshheading:6388516-Double-Blind Method, pubmed-meshheading:6388516-Epoprostenol, pubmed-meshheading:6388516-Female, pubmed-meshheading:6388516-Heparin, pubmed-meshheading:6388516-Humans, pubmed-meshheading:6388516-Infusions, Parenteral, pubmed-meshheading:6388516-Male, pubmed-meshheading:6388516-Middle Aged, pubmed-meshheading:6388516-Oxygen, pubmed-meshheading:6388516-Platelet Count, pubmed-meshheading:6388516-Random Allocation, pubmed-meshheading:6388516-Thromboxane B2, pubmed-meshheading:6388516-Vasoconstrictor Agents
pubmed:year
1984
pubmed:articleTitle
Disadvantages of prostacyclin infusion during cardiopulmonary bypass: a double-blind study of 50 patients having coronary revascularization.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial