Browse > Article
http://dx.doi.org/10.5090/kjtcs.2019.52.1.58

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia  

Sohn, Bongyeon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Park, Samina (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Lee, Hyun Joo (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Jeong, Jin Hee (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Choi, Sun Mi (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine)
Lee, Sang-Min (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine)
Seo, Jeong-Hwa (Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine)
Kim, Young Tae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.52, no.1, 2019 , pp. 58-60 More about this Journal
Abstract
Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.
Keywords
Lung transplantation; Hypercapnia; Cardiopulmonary bypass; Cerebrovascular circulation; pH stat;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Brian JE Jr. Carbon dioxide and the cerebral circulation. Anesthesiology 1998;88:1365-86.   DOI
2 Pollock JM, Deibler AR, Whitlow CT, et al. Hypercapnia-induced cerebral hyperperfusion: an underrecognized clinical entity. AJNR Am J Neuroradiol 2009;30:378-85.   DOI
3 Prough DS, Rogers AT, Stump DA, Mills SA, Gravlee GP, Taylor C. Hypercarbia depresses cerebral oxygen consumption during cardiopulmonary bypass. Stroke 1990;21:1162-6.   DOI
4 Kiziltan HT, Baltali M, Bilen A, et al. Comparison of alpha-stat and pH-stat cardiopulmonary bypass in relation to jugular venous oxygen saturation and cerebral glucose-oxygen utilization. Anesth Analg 2003;96:644-50.   DOI
5 Kim WG, Lim C, Moon HJ, Won TH, Kim YJ. Comparative analysis of alpha-STAT and pH-STAT strategies during deep hypothermic circulatory arrest in the young pig. Korean J Thorac Cardiovasc Surg 1998;31:553-9.
6 Waseda K, Tanimoto Y, Ichiba S, et al. Successful extracorporeal life support for life-threatening hypercapnia with bronchiolitis obliterans after allogeneic hematopoietic stem cell transplantation. Acta Med Okayama 2011;65:403-6.