Bypass Complications Clinical Trial
Official title:
The Difference Between Central and Peripheral Arterial Blood Oxygen Saturation in Patients Undergoing Cardiac Surgery With Different Cardiopulmonary Bypass Strategy
Femoro-femoral cardiopulmonary bypass with retrograde perfusion is needed for totally
thoracoscopic cardiac surgery. one of the major complication of retrograde perfusion is
organ hypoperfusion.
Arterial blood gas analysis can help to detect hypoperfusion or hypoxia during retrograde
perfusion. However,whether the arterial oxygenation status from different parts of the body
are the same in the condition of retrograde perfusion have not been studied.
The present study is aimed to determine if there is difference in the arterial oxygenation
between peripheral arterial and aortic root during the period of retrograde perfusion.In
addition, the impact of artificial ventilation on the difference of arterial oxygenation
will also be investigated.
All patients included will be assigned into two different groups according to the surgical
approach,one group is named "NP" with normal perfusion,and the other is named "RP" with
retrograde perfusion.
For all the patients,we will obtain 0.5ml blood from both peripheral arterial and aortic
root for blood gas analysis at some specific time points.
We will focus on the differences of arterial oxygenation between peripheral arterial and
aortic root at each group.At the same time,we will analyse the impact of artificial
ventilation on it.
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