Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2000
Clinical TrialSubtle brain damage cannot be detected by measuring neuron-specific enolase and S-100beta protein after carotid endarterectomy.
To assess whether subtle brain damage after carotid endarterectomy could be detected using serum levels of neuron-specific enolase (NSE) or S-100beta protein. ⋯ Subtle brain damage after carotid artery surgery could not be detected by measuring blood levels of NSE and S-100beta protein. The NSE level was significantly higher before carotid artery surgery and decreased postoperatively to the level observed in aortic surgery.
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J. Cardiothorac. Vasc. Anesth. · Apr 2000
Clinical TrialReactive hyperemia in skin after cardiopulmonary bypass.
To study reactive hyperemia (RH) using a transcutaneous PO2/PCO2 combination electrode heated to 37 degrees C and tissue reflectance spectrophotometry in patients before and after cardiopulmonary bypass (CPB) to determine whether microcirculatory function of skin is altered. ⋯ Cutaneous microcirculation assessed by RH is well preserved during the immediate postoperative period in patients undergoing uncomplicated coronary artery surgery with CPB.
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J. Cardiothorac. Vasc. Anesth. · Apr 2000
Clinical TrialClinical and economic effects of pulmonary artery catheterization in nonemergent coronary artery bypass graft surgery.
To examine the association between use of pulmonary artery catheterization with hospital outcomes and costs in nonemergent coronary artery bypass graft (CABG) surgery. ⋯ In the setting of nonemergent CABG surgery, pulmonary artery catheterization was associated with an increased risk of in-hospital mortality, greater length of stay, and higher total costs, particularly in hospitals with low volume of PAC use.
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J. Cardiothorac. Vasc. Anesth. · Apr 2000
Clinical TrialIs the placement of a pulmonary artery catheter still justified solely for the measurement of cardiac output?
The authors compared four clinical techniques of measuring cardiac output (CO) in critically ill patients: pulmonary artery thermodilution (CO[PA]), transpulmonary aortic thermodilution (CO[AORTA]), Fick principle-derived (CO[FICK]), and continuous pulmonary artery (CCO) measurements. ⋯ The correlations among the four CO techniques were high and similar, with CO(PA) and CO(AORTA) techniques showing the highest agreement. Because CO with similar accuracy can be obtained from transpulmonary aortic thermodilution in a less-invasive manner, it appears that the placement of a pulmonary artery catheter solely for the measurement of CO is no longer justified, unless continuous CO measurements are needed.
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J. Cardiothorac. Vasc. Anesth. · Apr 2000
Comparative Study Clinical TrialBeat-to-beat measurement of cardiac output by intravascular pulse contour analysis: a prospective criterion standard study in patients after cardiac surgery.
To evaluate the accuracy of a new pulse contour method of measuring cardiac output in critically ill patients. ⋯ Bias and precision are acceptable, and the system provides results that agree with conventional thermodilution. This study demonstrates the clinical applicability of the pulse contour cardiac output monitoring system.