Profound hypothermia | Moderate hypothermia | Mild hypothermia | |||||
---|---|---|---|---|---|---|---|
Continuous flow (n = 7) |
Circulatory arrest (n = 8) |
Continuous flow (n = 8) |
Circulatory arrest (n = 1) |
Continuous flow (n = 6) | |||
Cerebral FOE | |||||||
Before bypass | 0.371 (0.18) | 0.384 (0.09) | 0.362 (0.15) | 0.29 | 0.340 (0.05) | ||
Cooling | 0.412 (0.17) | 0.400 (0.13) | 0.368 (0.10) | 0.44 | 0.440 (0.08) | ||
Cold bypass | 0.350 (0.02) | 0.415 (0.10) | 0.367 (0.14) | 0.25 | 0.390 (0.03) | ||
Rewarming | 0.463 (0.10) | 0.356 (0.08) | 0.455 (0.09) | 0.32 | 0.440 (0.08) | ||
After bypass | 0.417 (0.16) | 0.353 (0.13) | 0.388 (0.15) | 0.42 | 0.380 (0.06) | ||
Systolic blood pressure (mm Hg) | |||||||
Before bypass | 89 (76–95) | 79.5 (54–89) | 96 (85–112) | 110 | 85 (79–103) | ||
Cooling | 39 (33–102) | 47 (37–140) | 51 (36–103) | 51 | 61 (43–123) | ||
Cold bypass | 49.5 (20–71) | 70 (66–72) | 45 (13–86) | 33 | 87 (80–151) | ||
Rewarming | 55 (46–63) | 60 (45–118) | 66 (48–98) | 56 | 73 (49–134) | ||
After bypass | 68 (64–92) | 77 (66–97) | 98 (74–116) | 70 | 99 (85–108) | ||
Haemoglobin (g/dl) | |||||||
Before bypass | 11.4 (10.3–18.7) | 12.6 (10.3–17.4) | 12.9 (10.5–14.6) | 16.3 | 12.9 (11.7–13.4) | ||
Cooling | 7.5 (6.8–13) | 8.9 (5.6–10.7) | 9.3 (6.3–11.7) | 10.7 | 9.9 (8.1–12.2) | ||
Cold bypass | 10.5 (8.9–12) | 10 (8.6–13.5) | 9.8 (5.7–11.7) | 10.0 | 9.7 (8.1–12.2) | ||
Rewarming | 10.5 (8.9–12) | 10 (8.6–13.5) | 9.8 (5.7–11.7) | 10.0 | 9.7 (8.1–12.2) | ||
After bypass | 11.7 (10–12.7) | 11.8 (10.5–15.9) | 10 (5.9–11.4) | 12.0 | 10.9 (8.7–12.2) | ||
Nasal temperature (°C) | |||||||
Before bypass | 36.6 (35.3–37.0) | 36.2 (35.3–36.6) | 36.3 (35.9–37.0) | 36.1 | 36.4 (35.4–36.7) | ||
Cooling | 27.0 (25.0–31.4) | 24.2 (21.8–28.0) | 30.2 (27.0–33.2) | 29.3 | 32.1 (30.1–33.8) | ||
Cold bypass | 21.6 (20.4–22.5) | 17.6 (16.3–23.8) | 25.9 (22.7–26.9) | 25.4 | 30.7 (30.2–31.7) | ||
Rewarming | 31.4 (28.5–32.4) | 29.3 (27.4–36.1) | 33.1 (30.6–35.2) | 32.3 | 35.2 (33.4–37.9) | ||
After bypass | 35.5 (35.1–37.0) | 36.0 (35.5–37.4) | 36.2 (35.0–37.2) | 35.6 | 36.4 (35.7–37.4) | ||
Change in oxidised cytochrome oxidase (μmol/l) | |||||||
Before bypass | 0 | 0 | 0 | 0 | 0 | ||
Cooling | −0.3 (−2.1 to 4.0) | −1.0 (−2.5 to 1.5) | −0.3 (−0.8 to 0.2) | −1.1 | −0.97 (−3.1 to −0.1) | ||
Cold bypass | −0.3 (−2.1 to 5.1) | −0.8 (−2.9 to 1.9) | −0.5 (−0.8 to 1.3) | −1.57 | −2.4 (−2.9 to −0.9) | ||
Rewarming | 0.0 (−2.5 to 5.7) | −1.1 (−3.6 to 2.3) | −0.1 (−0.8 to 1.1) | −1.96 | −1.8 (−2.9 to −0.2) | ||
After bypass | 0.7 (−2.4 to 1.7) | 0.4 (−4.3 to 3.3) | −0.2 (−0.6 to 1.5) | −1.44 | −1.2 (−2.7 to 0.7) |