Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Jun 2002
Randomized Controlled Trial Clinical TrialDiltiazem infusion for renal protection in cardiac surgical patients with preexisting renal dysfunction.
To evaluate if the calcium channel blocker diltiazem protects postoperatively renal function in cardiac surgical patients with preexisting mild-to-moderate renal dysfunction. ⋯ Diltiazem can be safely used in patients who have mild-to-moderate renal dysfunction and undergo cardiac surgery using cardiopulmonary bypass. Within the limits of this study, the data suggest that addition of prophylactic diltiazem may prevent further glomerular damage resulting from cardiopulmonary bypass and may improve glomerular function 3 weeks after cardiac surgery.
-
J. Cardiothorac. Vasc. Anesth. · Jun 2002
Randomized Controlled Trial Clinical TrialDoes normoxemic cardiopulmonary bypass prevent myocardial reoxygenation injury in cyanotic children?
To evaluate whether the deleterious effect of cardiopulmonary bypass (CPB) can be prevented by controlling PaO(2) in cyanotic children. ⋯ Conventional clinical methods of initiating CPB at a hyperoxemic PO(2) may increase the possibility of myocardial reoxygenation injury in cyanotic children. This deleterious effect of reoxygenation can be modified by initiating CPB at a lower level of oxygen concentration. Subsequent long-term studies are needed to determine the best method of decreasing the oxygen concentration of the CPB circuit.
-
J. Cardiothorac. Vasc. Anesth. · Jun 2002
Lithium dilution cardiac output measurement in oleic acid-induced pulmonary edema.
To determine whether lung injury influences the accuracy of lithium dilution cardiac output (CO) measurement. ⋯ Although the variability of lithium dilution CO measurement after oleic acid-induced pulmonary edema was greater than that of the control, this technique was acceptable even in cases of lung injury.