During cardiopulmonary bypass (CPB), complex neuroendocrine responses occur and result in haemodynamic changes. Systemic vascular resistance (SVR) before, during, and after CPB was documented in patients undergoing coronary artery bypass surgery. Whilst the overall effect was an increased SVR, transient profound decreases in SVR at the commencement of CPB, during the rewarming phase, and immediately on weaning off CPB were demonstrated.
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References
1.
Sanger PW, Robisek F., Taylor FH, Rees TT, Stam REVasomotor regulation during extracorporeal circulation and open heart surgery . J Thorac Cardiovasc Surg1960; 40: 355-74.
2.
Gall WE, Clarke WR, Doty DBVasomotor dynamics associated with cardiac operations: I. Venous tone and effects of vasodilators. J Thorac Cardiovasc Surg1982; 83: 724-31.
3.
Doty DB, Montanaro GD, Carter JG, Moyer JRVasomotor dynamics associated with cardiac operations: II. Effects of cardiopulmonary bypass on venous tone. J Thorac Cardiovasc Surg1982: 83: 732-35.
4.
Taylor KM, Bain WH, Maxted KS, Hutton MM, McNab WY, Caves PKComparative studies of pulsatile and non-pulsatile flow during cardiopulmonary bypass: I. Pulsatile system employed and its hematologic effect. J Thorac Cardiovasc Surg1978; 75: 569-73.
5.
Taylor KM, Wright GS, Reid JM et al. Comparative studies of pulsatile and non-pulsatile flow during cardiopulmonary bypass: II. The effects of adrenal secretion of cortisol. J Thorac Cardiovasc Surg1978; 75: 574-78.
6.
Taylor KM, Wright GS, Bain WH, Caves PK, Beastall GSComparative studies of pulsatile and non-pulsatile flow during cardiopulmonary bypass: III. Response of anterior pituitary gland to thyrotropin-releasing hormone. J Thorac Cardiovasc Surg1978; 75: 579-84.
7.
Taylor KM, Bain WH, Russell M., Brannan JJ, Morton IJPeripheral vascular resistance and angiotensin II levels during pulsatile and non-pulsatile cardiopulmonary bypass. Thorax1979; 34: 594-98.
8.
Taylor KM, Morton IJ, Brown JJ, Bain WH, Caves PKHypertension and renin-angiotensin system following open-heart surgery . J Thorac Cardiovasc Surg1977; 74: 840-45.
9.
Tan CK, Glissin SN, El-Etr AA, Ramakrishmaiah KBLevels of circulatory norepinephrine and epinephrine before, during and after CP bypass in man. J Thorac Cardiovasc Surg1976; 71: 928-31.
10.
Philbin DM, Levine FH, Emerson CW, Coggins CH, Buckley MJ, Austen WGPlasma vasopressin levels and urinary flow during cardiopulmonary bypass in patients with valvular heart disease: effect of pulsatile flow. J Thorac Cardiovasc Surg1979; 78: 779-83.
11.
Philbin DM, Levine FH, Kono K.Attenuation of stress response to cardiopulmonary bypass by the addition of pulsatile flow. Circulation1981; 64: 808-12.
12.
Noback C., Tinker JHHypothermia after cardiopulmonary bypass in man. Anesthesiology1980; 53: 277-80.
13.
Norden I.The influence of anaesthetics on systemic vascular resistance during cardiopulmonary bypass. Scand J Thorac Cardiovasc Surg1974 ; 8: 81-87.
14.
Gordon RJ, Ravin M., Rawitscher RE, Daicoff GRChanges in arterial pressure, viscosity and resistance during cardiopulmonary bypass. J Thorac Cardiovasc Surg1975; 69: 552-61.
15.
Robisek F., Masters TN, Niesluchowski W., Yeager JC, Duncan GDVasomotor activity during cardiopulmonary bypass. In: JR Utley editor. Pathophysiology and techniques of cardiopulmonary bypass, Vol II. Baltimore, MD: Williams & Wilkins, 1983: 1-12.
16.
Levy JH, Hug CCUse of cardiopulmonary bypass in studies of circulation. Br J Anaesth1988; 60: 355-75.
17.
Taylor KMVasopressor release and multiple organ failure in cardiac surgery . Perfusion1988; 3: 1-16.
18.
Vermeyen KM , Erpels FA, Beeckmaun CP, Janssen LA, Adriaensen HFLow dose of sufentanilisoflurane anaesthesia for coronary artery surgery. Br J Anaesth1989; 63: 44-50.
19.
Watkin DW, Peterson MB, Kong DL et al. Thromboxane and prostacyclin changes during CP bypass with and without pulsatile flow. J Thorac Cardiovasc Surg1982; 84: 250-56.
20.
Fusco MM, Hardy JD, Hammel HTInteraction of central and peripheral factors in physiological temperature regulation. Am J Physiology1961; 200: 572-80.
21.
Benzinger THHeat regulation homeostasis of central temperature in man. Physiol Reviews1969; 49: 671-759.
22.
Beavis R., Mullany CJ, Cronin KD et al. An experimental in vivo study of the canine internal mammary artery and its response to vasoactive drugs. J Thorac Cardiovasc Surg1988, 95: 1059-66.
23.
Flemma RT, Singh HM, Tector AJ, Lepley D., Frazier BLComparative hemodynamic properties of vein and mammary artery in coronary bypass operations. Ann Thorac Surg1975; 20: 619-27.
24.
Lee CN, Orzulak TA, Schaff HV, Kaye MPFlow capacity of canine internal mammary artery. J Thorac Cardiovasc Surg1986; 91: 405-10.
25.
Samuelson PN , Reves JG, Kirklin JK, Bradley E., Wilson KD, Adams M.Comparison of sufentanil and enflurane-nitrous oxide anesthesia for myocardial revascularisation. Anesth Analg1986; 65: 217-26.