Comparison between transcranial Doppler and coulter counter for detection of lipid micro embolization from mediastinal shed blood reinfusion during cardiac surgery.
(2011) In Perfusion 26(5). p.519-523- Abstract
- INTRODUCTION: Lipid micro embolization (LME) from re-transfused shed blood has been postulated to be a potential reason for short- and long-term cognitive dysfunction after cardiac surgery. The purpose of this investigation was to evaluate if transcranial Doppler (TCD) has the capacity to detect LME. METHODS: Thirteen patients undergoing cardiopulmonary bypass surgery were investigated. Each patient's cerebral circulation was monitored with transcranial Doppler during the first two minutes after re-transfusion of shed blood and blood was simultaneously sampled and characterised by a Coulter counter. RESULTS: Strong correlation was found between embolic loads, as measured by transcranial Doppler and Coulter counter (r=0.79, P<0.005).... (More)
- INTRODUCTION: Lipid micro embolization (LME) from re-transfused shed blood has been postulated to be a potential reason for short- and long-term cognitive dysfunction after cardiac surgery. The purpose of this investigation was to evaluate if transcranial Doppler (TCD) has the capacity to detect LME. METHODS: Thirteen patients undergoing cardiopulmonary bypass surgery were investigated. Each patient's cerebral circulation was monitored with transcranial Doppler during the first two minutes after re-transfusion of shed blood and blood was simultaneously sampled and characterised by a Coulter counter. RESULTS: Strong correlation was found between embolic loads, as measured by transcranial Doppler and Coulter counter (r=0.79, P<0.005). CONCLUSIONS: This pilot study shows that non-invasive monitoring by transcranial Doppler could be a potential tool to monitor LME during cardiopulmonary bypass surgery. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2151043
- author
- Eyjolfsson, Atli LU ; Alrashidi, Faleh LU ; Dencker, Magnus LU ; Scicluna, Sara LU ; Brondén, Björn LU ; Koul, Bansi LU and Bjursten, Henrik LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Perfusion
- volume
- 26
- issue
- 5
- pages
- 519 - 523
- publisher
- SAGE Publications
- external identifiers
-
- wos:000297503600011
- pmid:21844112
- scopus:80155172562
- pmid:21844112
- ISSN
- 1477-111X
- DOI
- 10.1177/0267659111419033
- language
- English
- LU publication?
- yes
- id
- dfd9e9ff-b180-44b6-bae1-06031719bf76 (old id 2151043)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21844112?dopt=Abstract
- date added to LUP
- 2016-04-01 10:40:47
- date last changed
- 2023-08-31 08:37:22
@article{dfd9e9ff-b180-44b6-bae1-06031719bf76, abstract = {{INTRODUCTION: Lipid micro embolization (LME) from re-transfused shed blood has been postulated to be a potential reason for short- and long-term cognitive dysfunction after cardiac surgery. The purpose of this investigation was to evaluate if transcranial Doppler (TCD) has the capacity to detect LME. METHODS: Thirteen patients undergoing cardiopulmonary bypass surgery were investigated. Each patient's cerebral circulation was monitored with transcranial Doppler during the first two minutes after re-transfusion of shed blood and blood was simultaneously sampled and characterised by a Coulter counter. RESULTS: Strong correlation was found between embolic loads, as measured by transcranial Doppler and Coulter counter (r=0.79, P<0.005). CONCLUSIONS: This pilot study shows that non-invasive monitoring by transcranial Doppler could be a potential tool to monitor LME during cardiopulmonary bypass surgery.}}, author = {{Eyjolfsson, Atli and Alrashidi, Faleh and Dencker, Magnus and Scicluna, Sara and Brondén, Björn and Koul, Bansi and Bjursten, Henrik}}, issn = {{1477-111X}}, language = {{eng}}, number = {{5}}, pages = {{519--523}}, publisher = {{SAGE Publications}}, series = {{Perfusion}}, title = {{Comparison between transcranial Doppler and coulter counter for detection of lipid micro embolization from mediastinal shed blood reinfusion during cardiac surgery.}}, url = {{http://dx.doi.org/10.1177/0267659111419033}}, doi = {{10.1177/0267659111419033}}, volume = {{26}}, year = {{2011}}, }