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The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 237-241, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
AH Harken
The possible advantages of pulsatile over continuous blood flow have
intrigued cardiac surgeons for years. This issue may have clinical
significance for moderate to long cardiopulmonary bypass procedures. In
spite of aggressive investigation, this problem remains controversial. A
system permitting perfusion of an isolated canine hind limb with constant
flow, Pao2, Paco2, oxygen delivery, temperature, and pHa but variable
stroke volume was established. Under stable conditions, oxygen uptake by
the limb was constant over a wide range of stroke volumes. Regression
equations relating oxygen uptake to stroke volume were calculated and found
to have a near zero slope. When the hydrogen ion concentration of the blood
perfusing tissue is held constant, the oxygen consumption of that tissue is
independent of the pulsatile nature of the perfusing blood.
ARTICLES
The influence of pulsatile perfusion on oxygen uptake by the isolated canine hind limb
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K. Taylor Review article : Vasopressor release and multiple organ failure in cardiac surgery Perfusion, January 1, 1988; 3(1): 1 - 16. [PDF] |
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