Abstract:
OBJECTIVES:To investigate an association between the preoperative plasma B-type natriuretic peptide (BNP) concentration and cerebral regional saturation (rSO2) measured using the INVOS oximeter (Medtronic, Minneapolis, MN). DESIGN:A retrospective data analysis. SETTING:Single university hospital. PARTICIPANTS:Patients undergoing off-pump coronary artery bypass (OPCAB) surgery. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Associations of variables obtained from preoperative blood laboratory tests and transthoracic echocardiography with baseline rSO2 before induction of general anesthesia were investigated using bivariate and multivariate regression analyses in 330 OPCAB patients. With bivariate analyses, age; body size-related variables such as weight and body surface area; hematologic function-related variables such as blood hemoglobin (Hb) concentration and arterial oxygen saturation; renal function-related variables including estimated glomerular filtration rate, creatinine, and blood urea nitrogen; hepatic function-related variables including cholinesterase, albumin, total bilirubin, and alanine aminotransferase; serum electrolytes including sodium, chloride, and phosphorus; BNP or log-transformed BNP; and 13 transthoracic echocardiography variables such as left ventricular ejection fraction highly significantly correlated with baseline rSO2 (p < 0.0001). However, the multiple regression analysis revealed that only BNP and Hb remained major factors significantly associated with baseline rSO2 (p < 0.0001), while estimated glomerular filtration rate, arterial oxygen saturation, and body surface area remained minor factors (p < 0.05). Baseline rSO2 correlated better with log-transformed BNP than with BNP, indicating that rSO2 correlated with BNP in an exponential fashion. CONCLUSIONS:Preoperative BNP and Hb concentrations were 2 major factors associated with INVOS rSO2 in patients undergoing OPCAB.
journal_name
J Cardiothorac Vasc Anesthjournal_title
Journal of cardiothoracic and vascular anesthesiaauthors
Yamamoto M,Hayashida M,Kakemizu-Watanabe M,Ando N,Mukaida H,Kawagoe I,Yusuke S,Inada Edoi
10.1053/j.jvca.2017.04.018subject
Has Abstractpub_date
2018-02-01 00:00:00pages
187-196issue
1eissn
1053-0770issn
1532-8422pii
S1053-0770(17)30407-Xjournal_volume
32pub_type
杂志文章abstract:OBJECTIVES:Implementation of an Enhanced Recovery After Surgery (ERAS) program is associated with better postoperative outcomes. The aim of this study was to evaluate the impact of ERAS compliance (overall and to specific elements of the program) on them. DESIGN:Retrospective analysis of prospectively collected data. ...
journal_title:Journal of cardiothoracic and vascular anesthesia
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更新日期:2020-07-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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doi:10.1053/j.jvca.2018.08.195
更新日期:2019-04-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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更新日期:2010-08-01 00:00:00
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更新日期:2018-04-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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doi:10.1053/j.jvca.2014.05.028
更新日期:2015-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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doi:10.1053/j.jvca.2016.06.014
更新日期:2017-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章,meta分析
doi:10.1053/j.jvca.2020.11.057
更新日期:2021-02-01 00:00:00
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doi:10.1053/j.jvca.2016.04.025
更新日期:2017-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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doi:10.1053/j.jvca.2011.06.021
更新日期:2011-10-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1053/j.jvca.2016.07.024
更新日期:2017-02-01 00:00:00
abstract::The recurrent or new trends of early extubation after cardiac surgery are here to stay in the 1990s. The preoperative status does not necessarily predict the postoperative course and prolonged mechanical ventilation following cardiac surgery should not be uncritically considered as routine. All patients should be asse...
journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章,评审
doi:10.1016/s1053-0770(05)80105-3
更新日期:1995-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s1053-0770(98)90048-9
更新日期:1998-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1053/j.jvca.2018.05.019
更新日期:2018-12-01 00:00:00
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doi:10.1053/j.jvca.2004.05.017
更新日期:2004-08-01 00:00:00
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doi:10.1016/s1053-0770(96)80090-5
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更新日期:2018-06-01 00:00:00
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更新日期:2016-04-01 00:00:00
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更新日期:2011-12-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1016/s1053-0770(96)80100-5
更新日期:1996-04-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章,meta分析,评审
doi:10.1053/j.jvca.2009.05.031
更新日期:2010-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1053/j.jvca.2008.12.027
更新日期:2009-08-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1016/s1053-0770(96)80240-0
更新日期:1996-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
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更新日期:2007-02-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章
doi:10.1053/j.jvca.2007.12.015
更新日期:2008-06-01 00:00:00
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journal_title:Journal of cardiothoracic and vascular anesthesia
pub_type: 杂志文章,随机对照试验
doi:10.1053/j.jvca.2006.02.030
更新日期:2007-04-01 00:00:00