| Blood cardioplegia does not increase haemolysis. A comparison between crystalloid and blood cardioplegia in coronary artery bypass grafting. | |
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MedLine Citation:
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PMID: 8857677 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To study the effect of cardioprotection type on haemolysis, 100 patients scheduled for elective coronary artery bypass grafting were allocated to receive either blood cardioplegia (BCP) or crystalloid cardioplegia (CCP). Haemoglobin concentrations in plasma and urine were measured after induction of anaesthesia, 1 hour postoperatively and the next morning; blood acid-base status was determined at the end of cardiopulmonary perfusion; serum electrolytes and creatinine were measured before and 1 and 3 hours after the operation and serum creatinine also the next morning. Plasma haemoglobin values tended to be higher in the CCP than in the BCP group (47.6, 200.2 and 69.1 vs 31.5, 207.5 and 39.2 mg/l, p = 0.084). The urinary haemoglobin concentrations did not differ between the groups. The acid-base status showed greater buffer capacity with BCP technique. These results contradict association of blood cardioplegia technique with increased haemolysis during coronary artery bypass grafting. |
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Authors:
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T T Rinne |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 30 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1996 |
Date Detail:
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Created Date: 1997-01-07 Completed Date: 1997-01-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 65-9 Citation Subset: IM |
Affiliation:
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Department of Anesthesia and Intensive Care, Tampere University Hospital, Finland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acid-Base Equilibrium Anesthesia, General Blood* Buffers Cardioplegic Solutions / administration & dosage* Cardiopulmonary Bypass Coronary Artery Bypass* Creatinine / blood Heart Arrest, Induced* Hemoglobins / analysis Hemoglobinuria / urine Hemolysis* Humans Isotonic Solutions Plasma Substitutes / administration & dosage* Potassium / blood Sodium / blood Surgical Procedures, Elective |
| Chemical | |
Reg. No./Substance:
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0/Buffers; 0/Cardioplegic Solutions; 0/Hemoglobins; 0/Isotonic Solutions; 0/Plasma Substitutes; 0/crystalloid solutions; 60-27-5/Creatinine; 7440-09-7/Potassium; 7440-23-5/Sodium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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