Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Jun 2002
Randomized Controlled Trial Clinical TrialPlatelet pheresis is not a useful adjunct to blood-sparing strategies in cardiac surgery.
To examine whether specific platelet pheresis (minimal plasma harvested) would contribute toward reduced blood loss and allogenic blood requirements after cardiac surgery. ⋯ Platelet pheresis activates a proportion of the harvested platelets and impairs the function of the remainder; this may explain its failure to reduce postoperative blood loss and transfusion requirements.
-
J. Cardiothorac. Vasc. Anesth. · Jun 2002
Splanchnic blood flow and oxygen uptake during cardiopulmonary bypass.
To measure splanchnic blood flow (SBF) with 2 indicator dilution techniques during and after cardiopulmonary bypass (CPB), to compare the results with transesophageal echocardiography Doppler-measured right hepatic vein (RHV) flow, and to study gastric tonometry data in the same patients. ⋯ SBF did not decrease during CPB. SBF could be measured with ethanol with reasonable accuracy. Transesophageal echocardiography assessment of RHV flow was not suitable to quantify SBF in the individual patient, but could be used to follow relative changes.
-
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.