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Myocardial metabolism during open heart surgery, assessed with microdialysis

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Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.

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Conclusion

A commercially available catheter was used in a clinical trial of myocardial microdialysis. The myocardial lactate and pyruvate concentrations and the lactate-to-pyruvate ratio, as a sensitive marker of the myocardial redox status, showed profound changes in both off-pump and on-pump patients. These microdialysis data have to be interpreted in the context of a variety of clinical implications, and a great deal of effort needs to be invested to determine the precise role of microdialysis in CABG procedures and find whether it is possible to improve our clinical management of open heart surgery patients using this new technology.

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Authors and Affiliations

  1. Department of Anaesthesiology, University of Lübeck, Germany

    L. Bahlmann & S. Klaus

  2. Department of Cardiac Surgery, Schüchtermann Klinik, Bad Rothenfelde, Germany

    J. Pöling

Authors
  1. L. Bahlmann
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  2. J. Pöling
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  3. S. Klaus
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Editor information

Editors and Affiliations

  1. Department of Perioperative Medicine, Intensive Care and Emergency, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 2005 Springer-Verlag Italia

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Bahlmann, L., Pöling, J., Klaus, S. (2005). Myocardial metabolism during open heart surgery, assessed with microdialysis. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0351-2_15

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  • DOI: https://doi.org/10.1007/88-470-0351-2_15

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0288-3

  • Online ISBN: 978-88-470-0351-4

  • eBook Packages: MedicineMedicine (R0)

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