Effects of temperature and flow rate on regional blood flow and metabolism during cardiopulmonary bypass

作者: W.Douglas Lazenby , Wilson Ko , John A. Zelano , Nathan Lebowitz , Yong T. Shin

DOI: 10.1016/0003-4975(92)90367-D

关键词: Blood flowMesenteric arteriesCardiopulmonary bypassHemodynamicsSuperior mesenteric arteryRenal arteryMedicineAnesthesiaKidneyFemoral arterySurgeryPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Eleven dogs were subjected to a 150-minute period of cardiopulmonary bypass that consisted high-flow, normothermic phase, hypothermic low-flow, and then rewarming phase. Regional blood flow oxygen consumption the brain, intestines, kidney, hind limb determined at baseline 10-minute intervals during bypass. Blood carotid artery, superior mesenteric renal artery declined significantly with whereas femoral increased significantly. Although total body returned values end for these regions differed somewhat from their values. We conclude is shunted skeletal muscle, particularly high pump flows. Additionally, return after not necessarily reflected regional level.

参考文章(26)
Martin H. Lees, Rodney H. Herr, John D. Hill, Clarence L. Morgan, A. John Ochsner, Carole Thomas, Douglas L. Van Fleet, Distribution of systemic blood flow of the rhesus monkey during cardiopulmonry bypass. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 61, pp. 570- 586 ,(1971) , 10.1016/S0022-5223(19)42198-3
Robert F. Hickey, Paul F. Hoar, Whole-body oxygen consumption during low-flow hypothermic cardiopulmonary bypass The Journal of Thoracic and Cardiovascular Surgery. ,vol. 86, pp. 903- 906 ,(1983) , 10.1016/S0022-5223(19)39067-1
Richard B. Shepard, John W. Kirklin, Relation of pulsatile flow to oxygen consumption and other variables during cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 58, pp. 694- 702 ,(1969) , 10.1016/S0022-5223(19)42549-X
L W Rudy, M A Heymann, L H Edmunds, Distribution of systemic blood flow during cardiopulmonary bypass. Journal of Applied Physiology. ,vol. 34, pp. 194- 200 ,(1973) , 10.1152/JAPPL.1973.34.2.194
B Kent, E C Peirce, Oxygen consumption during cardiopulmonary bypass in the uniformly cooled dog. Journal of Applied Physiology. ,vol. 37, pp. 917- 922 ,(1974) , 10.1152/JAPPL.1974.37.6.917
Harry Wollman, George W. Stephen, Anthony J. Clement, Gordon K. Danielson, Cerebral blood flow in man during extracorporeal circulation The Journal of Thoracic and Cardiovascular Surgery. ,vol. 52, pp. 558- 564 ,(1966) , 10.1016/S0022-5223(19)43400-4
Lloyd W. Rudy, John K. Boucher, L. Henry Edmunds, The effect of deep hypothermia and circulatory arrest on the distribution of systemic blood flow in rhesus monkeys. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 64, pp. 706- 713 ,(1972) , 10.1016/S0022-5223(19)40844-1
Richard L. Kahler, Allan Goldblatt, Eugene Braunwald, Circulatory effects of profound hypothermia during extracorporeal circulation American Journal of Physiology-Legacy Content. ,vol. 202, pp. 523- 526 ,(1962) , 10.1152/AJPLEGACY.1962.202.3.523
M A Heymann, L W Rudy, J R Edmunds lh, Distribution of systemic blood flow during total cardiopulmonary bypass in rhesus monkeys. Surgical forum. ,vol. 21, pp. 149- ,(1970)
Eh. Blackstone, Hypothermia, circulatory arrest, and cardiopulmonary bypass. Cardiac Surgery. ,vol. 612, ,(1992)