TY - JOUR
T1 - Operations that require supracoeliac aortic cross-clamping
T2 - Perioperative monitoring with gastric tonometry
AU - Geelkerken, Robert H.
AU - Zwijsen, Johannus H.M.J.
AU - Van Baalen, Jarie M.
AU - Harinck, Hubertus I.J.
AU - Hoffmann, Walter H.
AU - Van Bockel, J. Hajo
PY - 1999/8/20
Y1 - 1999/8/20
N2 - Objective: To assess the predictive value of a gastric intramucosal pH of less than 7.35 for mortality in surgical patients after supracoeliac aortic cross-clamping. Design: Open prospective clinical study. Setting: University hospital, The Netherlands. Subjects: Six patients who required temporary supracoeliac, and four patients who required temporary infrarenal, cross-clamping of the aorta. Main outcome measures: Mortality and conventional measures of organ dysfunction correlated with gastric tonometry. Results: All 6 patients who required supracoeliac cross-clamping underwent a steep, and 5 patients a prolonged, decrease in the gastric intramucosal pH. The mean lowest gastric intramucosal pH in the supracoeliac group was 7.05 and in the infrarenal group 7.28. All patients recovered completely. Conclusion: A pHig value below 7.35 does not seem to be a marker of mortality in patients who have undergone supracoeliac cross-clamping of the aorta.
AB - Objective: To assess the predictive value of a gastric intramucosal pH of less than 7.35 for mortality in surgical patients after supracoeliac aortic cross-clamping. Design: Open prospective clinical study. Setting: University hospital, The Netherlands. Subjects: Six patients who required temporary supracoeliac, and four patients who required temporary infrarenal, cross-clamping of the aorta. Main outcome measures: Mortality and conventional measures of organ dysfunction correlated with gastric tonometry. Results: All 6 patients who required supracoeliac cross-clamping underwent a steep, and 5 patients a prolonged, decrease in the gastric intramucosal pH. The mean lowest gastric intramucosal pH in the supracoeliac group was 7.05 and in the infrarenal group 7.28. All patients recovered completely. Conclusion: A pHig value below 7.35 does not seem to be a marker of mortality in patients who have undergone supracoeliac cross-clamping of the aorta.
KW - Gastric tonometry
KW - Organ dysfunction
KW - Splanchnic arteries
KW - Supracoeliac aortic cross-clamping
U2 - 10.1080/110241599750007450
DO - 10.1080/110241599750007450
M3 - Article
C2 - 10069629
AN - SCOPUS:0032786644
SN - 1102-4151
VL - 165
SP - 15
EP - 20
JO - The European Journal of Surgery
JF - The European Journal of Surgery
IS - 1
ER -