Microvascular reactivity and clinical outcomes in cardiac surgery

Critical Care : the Official Journal of the Critical Care Forum
Tae Kyong KimYunseok Jeon

Abstract

Microvascular reactivity is decreased in patients with septic shock; this is associated with worse clinical outcomes. The objectives of the present study were to investigate microvascular reactivity in cardiac surgery patients and to assess any association with clinical outcomes. We retrospectively analyzed a prospectively collected registry. In total, 254 consecutive adult patients undergoing cardiac and thoracic aortic surgeries from January 2013 through May 2014 were analyzed. We performed a vascular occlusion test (VOT) by using near-infrared spectroscopy to measure microvascular reactivity. VOT was performed three times per patient: prior to the induction of anesthesia, at the end of surgery, and on postoperative day 1. The primary endpoint was a composite of major adverse complications, including death, myocardial infarction, acute kidney injury, acute respiratory distress syndrome, and persistent cardiogenic shock. VOT recovery slope decreased during the surgery. VOT recovery slope on postoperative day 1 was significantly lower in patients with composite complications than those without (3.1 ± 1.6 versus 4.0 ± 1.5%/s, P = 0.001), although conventional hemodynamic values, such as cardiac output and blood pressure, did not...Continue Reading

Associated Clinical Trials

References

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Citations

Aug 16, 2017·Perfusion·Petra KrupičkováJan Bělohlávek
Apr 9, 2021·Journal of Clinical Monitoring and Computing·Kazuyuki MizunoyaSatoshi Hirano
Sep 18, 2021·Frontiers in Cardiovascular Medicine·Cong LiXiaohong Yang

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Methods Mentioned

BETA
coronary artery bypass

Clinical Trials Mentioned

NCT01713192

Software Mentioned

InSpectra Analysis
SPSS

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