Cardiac stabilization during “off-pump” coronary revascularization (OPCAB) has been implicated in causing intraoperative hemodynamic disturbances. Stroke volume and cardiac output reductions may alter the ventilation/perfusion ratio in the lungs and compromise the gas exchange. This study was conducted to determine the impact of heart’s stabilization on arterial blood-gas profile in patients undergoing OPCAB surgery.
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This study was undertaken to examine the impact of the variations of cardiac mechanical work in heart’s respiratory quotient (RQ) and venoarterial carbon dioxide difference (ΔPCO2). In twenty-seven patients undergoing coronary artery bypass grafting under extracorporeal circulation, a coronary sinus line was instituted and it’s correct position was verified by the waveform displayed in the monitor. Immediately after cannulae placement, a haemodynamic profile was obtained and simultaneous arterial and coronary sinus (a & cs) sampling for blood gas analysis was done in an ABL 720 (Radiometer Copenhagen) analyzer.
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