Patterns of energy substrates during ischemia measured in the brain by microdialysis.

作者: Roman Hlatky , Alex B. Valadka , J. Clay Goodman , Charles F. Contant , Claudia S. Robertson

DOI: 10.1089/0897715041526195

关键词: Traumatic brain injuryInternal medicineGlutamate receptorMicrodialysisHypoxia (medical)IschemiaEndocrinologyCentral nervous systemAnesthesiaDialysate sampleLactic acidMedicine

摘要: The purpose of this study was to examine the patterns change in microdialysate concentrations glucose, lactate, pyruvate, and glutamate brain during periods hypoxia/ischemia identified by monitoring tissue pO2 (PbtO2). Of particular interest a better understanding what additional information could be obtained microdialysis parameters that not available from PbtO2. Fifty-seven patients admitted with severe traumatic injury who had placement both (PbtO2) probe were studied. perfused Ringer's solution at 0.3 μL/min dialysate collected 1-h intervals. concentration measured each sample. Changes examined episodes where PbtO2 decreased below 10 mm Hg. Ten decrease Hg observed p...

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