Skip to main content
SpringerLink
Log in

Hypothermia and Cardiac Surgery

  • Chapter
International Practice in Cardiothoracic Surgery

  • 22 Accesses

Abstract

Most cardiac surgery involves the use of hypothermia of varying degrees, the effect of which has been intensively studied [1]. Of considerable interest is the change in metabolism and organ function produced by altering acid base balance during hypothermia [2–5]. This chapter will discuss the importance of pH during hypothermia in cardiac surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Black PR, Van Devanter S, Cohn LH: Effects of hypothermia in systemic and organ system metabolism and function. J Surg Res 20: 49, 1976.

    Article  PubMed  CAS  Google Scholar 

  2. White FN: A comparative physiological approach to hypothermia. J Thorac Cardiovasc Surg 82: 821, 1981.

    PubMed  CAS  Google Scholar 

  3. Rahn H, Reeves RB: Hydrogen ion regulation during hypothermia: from the Amazon to the operating room. In Applied physiology in clinical respiratory care. Edited by Prakash O. Martinus Nijhoff, The Hague, Netherlands, 1982.

    Google Scholar 

  4. Swan H: The hydroxyl-hydrogen ion concentration ratio during hypothermia. Surg Gynecol Obstet 155: 897, 1982.

    PubMed  CAS  Google Scholar 

  5. Ream AK, Reitz RA, Silverberg GD: Temperature correction of pCO2 and pH in estimating acid-base status. Anesthesiology 56: 41, 1982.

    Article  PubMed  CAS  Google Scholar 

  6. Rahn H: Body temperature and acid-base regulation. Pneumonologie 151: 87, 1974.

    Article  PubMed  CAS  Google Scholar 

  7. Howell BJ, Rahn H, Goodfellow D, Herreid C: Acid-base regulation and temperature in selected invertebrates as a function of temperature. Am Zool 13: 557, 1973.

    CAS  Google Scholar 

  8. Rahn H, Reeves RB, Howell BJ: Hydrogen ion regulation, temperature and evolution. Am J Respir 112: 165, 1975.

    CAS  Google Scholar 

  9. Jackson DC: Respiratory control in air-breathing ectotherms. In Regulation of ventilation and gas exchange. Edited by Davies DG, Barnes CD. Academic Press, New York, 1978.

    Google Scholar 

  10. Rosenthal TB: The effect of temperature on the pH of blood and plasma in vitro. J Biol Chem 173: 25, 1948.

    PubMed  CAS  Google Scholar 

  11. Quantitative clinical chemistry. Edited by Peters JP, Van Slyke DD. The Williams and Wilkins Co., Baltimore, Maryland, 1932.

    Google Scholar 

  12. Reeves RB: An imidazole alphastat hypothesis for vertebrate acid-base regulation. Tissue carbon dioxide content and body temperature in bullfrogs. Respir Physiol 14: 219, 1972.

    Article  PubMed  CAS  Google Scholar 

  13. Malan A, Arens H, Waechter A: Pulmonary respiration and acid-base state in hibernating marmots and hamsters. Respir Physiol 17: 45, 1973.

    Article  PubMed  CAS  Google Scholar 

  14. Reeves RB: Temperature-induced changes in blood acid-base status. Donnan ru and red cell volume. J Appl Physiol 40: 762, 1976.

    PubMed  CAS  Google Scholar 

  15. Yancey PH, Sornero GN: Temperature dependence of intracellular pH: its role in the conservation of pyruvate apparent Kn values of vertebrate lactate dehydrogenases. J Comp Physiol 125: 129, 1978.

    CAS  Google Scholar 

  16. Park SP, Hong SK: Properties of toad skin Na-K-ATPase with special reference to effect of temperature. Am J Physiol 231: 1356, 1976.

    PubMed  CAS  Google Scholar 

  17. Hazel JR, Garlick WS, Sellner PA: The effects of assay temperature upon the pH optina of enzymes from poikilotherms. A test of the imidazole alphastat hypothesis. J Comp Physiol 123: 97, 1978.

    CAS  Google Scholar 

  18. McConnell DH, White FN, Nelson RL, et al.: Importance of “alkalosis” in maintenance of ideal blood pH during hypothermia. Surg Forum 26: 263, 1975.

    PubMed  CAS  Google Scholar 

  19. Swain JA, White FN, Peters RM: The effect of pH on the hypothermic ventricular fibrillation threshold. J Thorac Cardiovasc Surg, (in press)

    Google Scholar 

  20. Williams JJ, Marshall BE: A fresh look at an old question. Anesthesiology 56: 1, 1982.

    Article  PubMed  CAS  Google Scholar 

  21. Swan H, Zeavin I: Cessation of circulation in general hypothermia. III. Techniques of intracardiac surgery under direct vision. Ann Surg 139: 385, 1954.

    Article  PubMed  CAS  Google Scholar 

  22. Hypothermic anesthesia, Virtue RW. Charles C. Thomas, Springfield, Illinois, 1955.

    Google Scholar 

  23. Blayo MC, LeCompte Y, Pocidalo JJ: Control of acid-base status during hypothermia in man. Respir Physiol 42: 287, 1980.

    Article  PubMed  CAS  Google Scholar 

  24. Fox LS, Blackstone EH, Kirklin JW, Stewart RW, Samuelson PN: The relationship of whole body oxygen consumption to perfusion flow rate during hypothermic cardiopulmonary bypass. J Thorac Cardiovasc Surg 83: 239, 1981.

    Google Scholar 

  25. Silverberg GD, Reitz BA, Ream AK: Hypothermia and cardiac arrest in the treatment of giant aneurysms of the cerebral circulation and hemangioblastoma of the medulla. J Neurosurg 55: 337, 1981.

    Article  PubMed  CAS  Google Scholar 

  26. Prakash O, Jonson B, Bos E, Meij S, Hugenholtz PG, Hekman W: Cardiorespiratory and metabolic effects of profound hypothermia. Crit Care Med 6: 165, 1978.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Julie A. Swain
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Beijing Heart, Lung and Blood Vessel Medical Center, Beijing, China

    Yingkai Wu MB. ChB. (Professor of Thoracic Surgery) (Professor of Thoracic Surgery)

  2. University of California at San Diego, California, USA

    Richard M. Peters M.D. (Professor of Surgery & Biomedical Engineering) (Professor of Surgery & Biomedical Engineering)

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Science Press, Beijing and Martinus Nijhoff Publishers, Dordrecht

About this chapter

Cite this chapter

Swain, J.A. (1986). Hypothermia and Cardiac Surgery. In: Wu, Y., Peters, R.M. (eds) International Practice in Cardiothoracic Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4259-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-4259-2_14

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8391-1

  • Online ISBN: 978-94-009-4259-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation