La tunisie Medicale - 2020 ; Vol 98 ( n°012 ) : 1024-1030
[ 400 times seen ]
Summary

Introduction: The standard control parameters of cardiopulmonary bypass (CPB) currently used in Tunisia are replaced in Western countries by the concept of "goal-directed-perfusion" requiring oxygen delivery (DO2) minimum at 270ml / min / m2.
Aim: In this study, we explored the association between the DO2 and the postoperative morbidity and mortality.
Methods: This is a cross-sectional and retrospective observational study including a series of 50 patients operated on for myocardial revascularization under CPB.
Results: We noticed a significant correlation between starting DO2i and Creatinine clearance at day 0, Δcreate (day 1-day 0) and ventilation time. There was also a significant correlation between discharge DO2i and daytime urine output, ventilation time, hospital stay and in-hospital mortality. Through a univariable study, we compared the classic parameters of perfusion monitoring during CPB in addition to the starting DO2i with the different postoperative results. It was noted that the starting DO2i figures below the threshold of 270ml / min / m² were significantly correlated with the duration of administration of catecholamines postoperatively, with prolonged ventilation, with the variation in serum creatinine postoperatively and with in-hospital mortality.
Conclusion: DO2 is a monitoring tool that has proven its advantages for monitoring under CPB.

Key - Words
Article
Login
E-mail :
Password :
Remember Me Forgot password? Sign UP
Archives
2021
January
February
March
April
May
June
July
August
September
October
November
December
Keywords most used
Child treatment diagnosis surgery prognosis Tunisia Children Crohn’s disease Breast cancer screening Cancer epidemiology Ulcerative colitis Risk factors Osteoporosis
Newsletter
Sign up to receive our newsletter
E-mail :
Stay in Touch
Join Us! !