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Assessment of splanchnic perfusion with gastric tonometry in the immediate postoperative period of cardiac surgery in children
| Content Provider | Scilit |
|---|---|
| Author | Souza, Renato Lopes De Carvalho, Werther Brunow De Maluf, Miguel Angel Carvalho, Antonio Carlos |
| Copyright Year | 2001 |
| Description | OBJECTIVE - A prospective, nonrandomized clinical study to assess splanchnic perfusion based on intramucosal pH in the postoperative period of cardiac surgery and to check the evolution of patients during hospitalization. METHODS - We studied 10 children, during the immediate postoperative period after elective cardiac surgery. Sequential intramucosal pH measurements were taken, without dobutamine (T0) and with 5mcg/kg/min (T1) and 10 (T2) mcg/kg/min. In the pediatric intensive care unit, intramucosal pH measurements were made on admission and 4, 8, 12, and 24 hours thereafter. RESULTS - The patients had an increase in intramucosal pH values with dobutamine 10mcg/kg/min [7.19± 0.09 (T0), 7.16±0.13(T1), and 7.32±0.16(T2)], (p=0.103). During the hospitalization period, the intramucosal pH values were the following: 7.20±0.13 (upon admission), 7.27±0.16 (after 4 hours), 7.26±0.07 (after 8 hours), 7.32±0.12 (after 12 hours), and 7.38±0.08 (after 24 hours), (p=0.045). No deaths occurred, and none of the patients developed multiple organ and systems dysfunction. CONCLUSION - An increase in and normalization of intramucosal pH was observed after dobutamine use. Measurement of intramucosal pH is a type of monitoring that is easy to perform and free of complications in children during the postoperative period of cardiac surgery.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUNIFESP, EPMSciEL |
| Related Links | https://core.ac.uk/download/pdf/37704656.pdf http://www.scielo.br/pdf/abc/v77n6/a02v77n6.pdf |
| Ending Page | 519 |
| Page Count | 5 |
| Starting Page | 515 |
| ISSN | 0066782X |
| e-ISSN | 16784170 |
| DOI | 10.1590/s0066-782x2001001200002 |
| Journal | Arquivos Brasileiros de Cardiologia |
| Issue Number | 6 |
| Volume Number | 77 |
| Language | English |
| Publisher | FapUNIFESP (SciELO) |
| Publisher Date | 2001-12-01 |
| Access Restriction | Open |
| Subject Keyword | Arquivos Brasileiros de Cardiologia Splanchnic Perfusion Gastric Tonometry Pediatric Cardiac Surgery |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cardiology and Cardiovascular Medicine |
