1994
DOI: 10.1016/s0022-5223(94)70375-2
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Evaluation of cerebral metabolism and quantitative electroencephalography after hypothermic circulatory, arrest and low-flow cardiopulmonary bypass at different temperatures

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Cited by 109 publications
(39 citation statements)
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“…Since glucose is also consumed with anaerobic glycolysis at a higher rate for ATP production compared with aerobic, it is unclear whether aerobic or anaerobic glycolysis might increase glucose consumption. It was reported that cerebral vascular resistance remained elevated and did not return to a baseline level until 8 hours after hypothermic circulatory arrest or low flow CPB [18]. Therefore, even after restart of CPB with rapid rewarming, regional or global anaerobic metabolism might remain, resulting from a relative lack of blood flow for the activation of metabolism.…”
Section: Discussionmentioning
confidence: 99%
“…Since glucose is also consumed with anaerobic glycolysis at a higher rate for ATP production compared with aerobic, it is unclear whether aerobic or anaerobic glycolysis might increase glucose consumption. It was reported that cerebral vascular resistance remained elevated and did not return to a baseline level until 8 hours after hypothermic circulatory arrest or low flow CPB [18]. Therefore, even after restart of CPB with rapid rewarming, regional or global anaerobic metabolism might remain, resulting from a relative lack of blood flow for the activation of metabolism.…”
Section: Discussionmentioning
confidence: 99%
“…The temperature management is part of treatment of many patients with acute brain injury (Choi et al, 2012). Even without any brain pathology, hypothermia leads progressively to brain activity slowing and then suppression (Mezrow et al, 1994), (Stecker et al, 2001).…”
Section: Body Temperaturementioning
confidence: 99%
“…Therapeutic hypothermia, on the other hand, is induced deliberately to protect vulnerable tissues from ischaemia-reperfusion injury. Lower temperature decreases tissue metabolism and oxygen demands (every 10°C alteration in temperature results in roughly a 50 per cent reduction in global and a 63 per cent reduction in cerebral metabolism) 66,67 , which can be helpful during periods of poor oxygen delivery (shock). As described in other reviews, hypothermia influences numerous biological process in the body 30,68 .…”
Section: Barriers To Translationmentioning
confidence: 99%