Linked Life Data

8944992

Source:http://linkedlifedata.com/resource/pubmed/id/8944992

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1997-3-14
pubmed:abstractText
To establish a safe and reliable method for cerebral protection in aortic arch surgery, the authors attempted antegrade selective cerebral perfusion (SCP) based on the characteristics of jugular venous oxygen saturation (SjO2). Twenty patients were divided into two groups: a control group and SCP group. In the control group, in 13 adult patients undergoing cardiac surgery using standard hypothermic cardiopulmonary bypass, the relationship between SjO2 and nasopharyngeal temperature (NPT) during rewarming showed an inverse linear correlation:SjO2 = -2.3 NPT + 133 (r = 0.616). In the SCP group, seven patients with aortic arch aneurysm underwent surgery using SCP performed through direct cannulation of the innominate and left carotid arteries. While on SCP (83 +/- 24 min), the blood was warmed from 28 to 36 degrees C. Cerebral perfusion pressure of 40-60 mm Hg was necessary to maintain the SjO2 equal to the value in the control group at each NPT during SCP in all seven patients. None of the patients had any post operative complications. Our experience suggests that SCP can be safely performed at both mild hypothermia and normothermia under monitoring of perfusion pressure and SjO2 in aortic arch surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1058-2916
pubmed:author
pubmed:issnType
Print
pubmed:volume
42
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
M794-6
pubmed:dateRevised
2006-5-23
pubmed:meshHeading
pubmed:articleTitle
Improved management of selective cerebral perfusion in aortic arch surgery.
pubmed:affiliation
Division of Cardiovascular Surgery, Osaka Police Hospital, Japan.
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial