Abstract
The aim of this study is to evaluate gastric mucosal oxygenation together with whole-body oxygen changes in infants undergoing congenital heart surgery with cardiopulmonary bypass (CPB) procedure and the use of either pulsatile or nonpulsatile mode of perfusion with normothermia and pulsatile or nonpulsatile moderate hypothermia. Sixty infants undergoing congenital cardiac surgery were randomized into four groups as: nonpulsatile normothermia CPB (NNCPB, n=15), pulsatile normothermia CPB (PNCPB, n=15), nonpulsatile moderate hypothermia CPB (NHCPB, n=15), and pulsatile moderate hypothermia CPB (PHCPB, n=15) groups. In NNCPB and PNCPB groups, mild hypothermia was used (35°C), whereas in NHCPB and PHCPB groups, moderate hypothermia (28°C) was used. Gastric intramucosal pH (pHi), whole-body oxygen delivery (DO 2) and consumption (VO 2), and whole-body oxygen extraction fraction were measured at sequential time points intraoperatively and up to 2h postoperatively. The measurement of continuous tonometry data was collected at desired intervals. The values of DO 2, VO 2, and whole-body oxygen extraction fraction were not different between groups before CPB and during CPB, whereas the PNCPB group showed higher values of DO 2, VO 2, and whole-body oxygen extraction fraction compared to the other groups at the measurement levels of 20 and 60min after aortic cross clamp, end of CPB, and 2h after CPB (P<0.0001). Between groups, no difference was observed for pHi, lactate, and cardiac index values (P>0.05). This study shows that the use of normothermic pulsatile perfusion (35°C) provides better gastric mucosal oxygenation as compared to other perfusion strategies in neonates and infants undergoing congenital heart surgery with CPB procedures.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1010-1017 |
| Number of pages | 8 |
| Journal | Artificial organs |
| Volume | 35 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2011 |
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All Science Journal Classification (ASJC) codes
- Bioengineering
- Medicine (miscellaneous)
- Biomaterials
- Biomedical Engineering
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Comparison of Parameters for Detection of Splanchnic Hypoxia in Children Undergoing Cardiopulmonary Bypass With Pulsatile Versus Nonpulsatile Normothermia or Hypothermia During Congenital Heart Surgeries. / Karaci, Ali Riza; Sasmazel, Ahmet; Aydemir, Numan Ali; Saritas, Turkay; Harmandar, Bugra; Tuncel, Zeliha; Undar, Akif.
In: Artificial organs, Vol. 35, No. 11, 01.11.2011, p. 1010-1017.Research output: Contribution to journal › Article
TY - JOUR
T1 - Comparison of Parameters for Detection of Splanchnic Hypoxia in Children Undergoing Cardiopulmonary Bypass With Pulsatile Versus Nonpulsatile Normothermia or Hypothermia During Congenital Heart Surgeries
AU - Karaci, Ali Riza
AU - Sasmazel, Ahmet
AU - Aydemir, Numan Ali
AU - Saritas, Turkay
AU - Harmandar, Bugra
AU - Tuncel, Zeliha
AU - Undar, Akif
PY - 2011/11/1
Y1 - 2011/11/1
N2 - The aim of this study is to evaluate gastric mucosal oxygenation together with whole-body oxygen changes in infants undergoing congenital heart surgery with cardiopulmonary bypass (CPB) procedure and the use of either pulsatile or nonpulsatile mode of perfusion with normothermia and pulsatile or nonpulsatile moderate hypothermia. Sixty infants undergoing congenital cardiac surgery were randomized into four groups as: nonpulsatile normothermia CPB (NNCPB, n=15), pulsatile normothermia CPB (PNCPB, n=15), nonpulsatile moderate hypothermia CPB (NHCPB, n=15), and pulsatile moderate hypothermia CPB (PHCPB, n=15) groups. In NNCPB and PNCPB groups, mild hypothermia was used (35°C), whereas in NHCPB and PHCPB groups, moderate hypothermia (28°C) was used. Gastric intramucosal pH (pHi), whole-body oxygen delivery (DO 2) and consumption (VO 2), and whole-body oxygen extraction fraction were measured at sequential time points intraoperatively and up to 2h postoperatively. The measurement of continuous tonometry data was collected at desired intervals. The values of DO 2, VO 2, and whole-body oxygen extraction fraction were not different between groups before CPB and during CPB, whereas the PNCPB group showed higher values of DO 2, VO 2, and whole-body oxygen extraction fraction compared to the other groups at the measurement levels of 20 and 60min after aortic cross clamp, end of CPB, and 2h after CPB (P<0.0001). Between groups, no difference was observed for pHi, lactate, and cardiac index values (P>0.05). This study shows that the use of normothermic pulsatile perfusion (35°C) provides better gastric mucosal oxygenation as compared to other perfusion strategies in neonates and infants undergoing congenital heart surgery with CPB procedures.
AB - The aim of this study is to evaluate gastric mucosal oxygenation together with whole-body oxygen changes in infants undergoing congenital heart surgery with cardiopulmonary bypass (CPB) procedure and the use of either pulsatile or nonpulsatile mode of perfusion with normothermia and pulsatile or nonpulsatile moderate hypothermia. Sixty infants undergoing congenital cardiac surgery were randomized into four groups as: nonpulsatile normothermia CPB (NNCPB, n=15), pulsatile normothermia CPB (PNCPB, n=15), nonpulsatile moderate hypothermia CPB (NHCPB, n=15), and pulsatile moderate hypothermia CPB (PHCPB, n=15) groups. In NNCPB and PNCPB groups, mild hypothermia was used (35°C), whereas in NHCPB and PHCPB groups, moderate hypothermia (28°C) was used. Gastric intramucosal pH (pHi), whole-body oxygen delivery (DO 2) and consumption (VO 2), and whole-body oxygen extraction fraction were measured at sequential time points intraoperatively and up to 2h postoperatively. The measurement of continuous tonometry data was collected at desired intervals. The values of DO 2, VO 2, and whole-body oxygen extraction fraction were not different between groups before CPB and during CPB, whereas the PNCPB group showed higher values of DO 2, VO 2, and whole-body oxygen extraction fraction compared to the other groups at the measurement levels of 20 and 60min after aortic cross clamp, end of CPB, and 2h after CPB (P<0.0001). Between groups, no difference was observed for pHi, lactate, and cardiac index values (P>0.05). This study shows that the use of normothermic pulsatile perfusion (35°C) provides better gastric mucosal oxygenation as compared to other perfusion strategies in neonates and infants undergoing congenital heart surgery with CPB procedures.
UR - http://www.scopus.com/inward/record.url?scp=81855192795&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=81855192795&partnerID=8YFLogxK
U2 - 10.1111/j.1525-1594.2011.01378.x
DO - 10.1111/j.1525-1594.2011.01378.x
M3 - Article
C2 - 22097978
AN - SCOPUS:81855192795
VL - 35
SP - 1010
EP - 1017
JO - Artificial Organs
JF - Artificial Organs
SN - 0160-564X
IS - 11
ER -