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1.
Hig. aliment ; 33(288/289): 609-613, abr.-maio 2019. ilus
Article Dans Portugais | LILACS, VETINDEX | ID: biblio-1482006

Résumé

O morango (Fragaria L.) é um fruto que possui várias maneiras de preparo e consumo, devido à boa aceitação das suas características organolépticas, se torna um produto muito utilizado na indústria alimentícia. O presente trabalho teve por objetivo estudar o processo de transferência de massa em morangos por meio da desidratação da fruta em secador solar. A secagem foi realizada em um protótipo de secador solar de exposição direta com coletor solar acoplado por 16 horas e foram analisados cortes para geometria cilíndrica e geometria plana. Verificou-se que a geometria plana apresentou uma maior velocidade de secagem em relação à geometria cilíndrica. Os coeficientes de difusividade encontrados tiveram uma relação diretamente proporcional à temperatura de secagem e geometria.


Sujets)
Conservation aliments/statistiques et données numériques , Conservation aliments/méthodes , Diffusion thermique , Fragaria , Cinétique
2.
Article Dans Anglais | IMSEAR | ID: sea-139841

Résumé

Aim : In this paper, the temperature and stress distributions in an exact 3D-model of a restored maxillary second premolar tooth are obtained with finite element approach. Objective : The carious teeth need to restore with appropriate restorative materials. There are too many restorative materials which can be used instead of tooth structures; since tooth structures are being replaced, the restorative materials should be similar to original structure as could as possible . Materials and Methods : In the present study, a Mesial Occlusal Distal (MOD) type of restoration is chosen and applied to a sound tooth model. Four cases of restoration are investigated: two cases in which base are used under restorative materials and two cases in which base is deleted. The restorative materials are amalgam and composite and glass-inomer is used as a base material. Modeling is done in the solid works ambient by means of an exact measuring of a typical human tooth dimensions. Tooth behavior under thermal load due to consuming hot liquids is analyzed by means of a three dimensional finite element method using ANSYS software. The highest values of tensile and compressive stresses are compared with tensile and compressive strength of the tooth and restorative materials and the value of shear stress on the tooth and restoration junctions is compared with the bond strength. Also, sound tooth under the same thermal load is analyzed and the results are compared with those obtained for restored models. Results : Temperature and stress distributions in the tooth are calculated for each case, with a special consideration in the vicinity of pulp and restoration region. Numerical results show that in two cases with amalgam, using the base material (Glass-ionomer) under the restorative material causes to decrease the maximum temperature in the restorative teeth . In the stress analysis, it is seen that the principal stress has its maximum values in composite restorations. Conclusion : The maximum temperatures are found in the restoration case of amalgam without base. Besides, it is found that restoration has not any influence on the stress values at DEJ, such that for all cases, these values are close to sound tooth results.


Sujets)
Prémolaire/physiologie , Température du corps , Résines composites , Résistance à la compression , Amalgame dentaire , Pulpe dentaire/physiologie , Restaurations dentaires permanentes/méthodes , Analyse du stress dentaire/méthodes , Analyse des éléments finis , Ciment ionomère au verre , Humains , Imagerie tridimensionnelle , Maxillaire , Modèles biologiques , Résistance au cisaillement , Résistance à la traction , Conductivité thermique , Diffusion thermique
3.
Korean Journal of Anesthesiology ; : 479-484, 2008.
Article Dans Coréen | WPRIM | ID: wpr-99670

Résumé

BACKGROUND: This study was done to evaluate the sole effect of norepinephrine on the regional myocardial perfusion during displacement of the porcine beating heart using thermal diffusion method. METHODS: Thermal diffusion probe was inserted into the anterior myocardial wall during 20 procedures in 10 male pigs (30-35 kg). The measurements of regional myocardial perfusion and hemodynamic parameters were performed after complete instrumentation (baseline), after displacement of the beating heart anteriorly, and 5 and 15 minutes after norepinephrine infusion, titrated to restore baseline mean arterial pressure (MAP). RESULTS: Norepinephrine infusion reversed the decrease in MAP and myocardial perfusion, caused by displacement of the beating heart (62 +/- 3% to 115 +/- 4% of baseline, P < 0.01; 41 +/- 5% to 125 +/- 4% of baseline, P < 0.05, respectively). CONCLUSIONS: Restoration of MAP with norepinephrine infusion without any preload augmentation reversed deterioration in regional myocardial perfusion during displacement of the porcine beating heart.


Sujets)
Humains , Mâle , Pression artérielle , Déplacement psychologique , Coeur , Hémodynamique , Norépinéphrine , ortho-Aminobenzoates , Perfusion , Suidae , Diffusion thermique
4.
Korean Journal of Anesthesiology ; : 716-725, 2004.
Article Dans Coréen | WPRIM | ID: wpr-62089

Résumé

BACKGROUND: The overall rate of renal complications after surgery on the suprarenal aorta remains high. Possible mechanisms are, a reduction and maldistribution of renal blood flow, activation of the renin-angiotensin system, and the release of various mediators. In this study, changes in renal blood flow, local renal perfusion, the oxygen extraction ratio, and in renal function by furosemide following supraceliac aortic cross clamping and unclamping were observed. METHODS: A total of 13 mongrel dogs were divided into two groups; a control group (n = 7), and a furosemide group (n = 6). For aortic cross clamping the supraceliac aorta was exposed and a doppler flowmeter probe was placed on the left renal artery. A thermal diffusion microprobe was also inserted in the renal parenchyme to measure local renal perfusion. Sixty minutes after aortic cross clamping, systemic hemodynamic data, renal blood flow, and local renal perfusion were measured. These parameters were also repeatedly measured at 1, 2, 3, 4, 5, and 6 hours after unclamping. Biomarkers of renal dysfunction and injury (renin activity, creatinine, and Cystatin-C) were measured. RESULTS: No differences were observed between the two groups in terms of renal blood flow, local renal perfusion, and oxygen extraction ratio. Renal blood flow and perfusion did not recover to the baseline level after unclamping in either group. Plasma renin activity significantly reduced in the furosemide group 3 hours after clamping, but serum creatinine, and Cystatin-C concentrations were similar in the tow groups. CONCLUSIONS: We conclude that the administration of furosemide after supraceliac aortic unclamping to improve renal function is not effective in experimental dogs.


Sujets)
Animaux , Chiens , Aorte , Anévrysme de l'aorte , Marqueurs biologiques , Constriction , Créatinine , Débitmètres , Furosémide , Hémodynamique , Oxygène , Perfusion , Plasma sanguin , Artère rénale , Circulation rénale , Rénine , Système rénine-angiotensine , Diffusion thermique
5.
Korean Journal of Anesthesiology ; : 467-474, 2004.
Article Dans Coréen | WPRIM | ID: wpr-20025

Résumé

BACKGROUND: The incidence of renal insufficiency is reported about 18-27% during the thoracoabdominal aneurysm surgery. The possible mechanisms are reduction and maldistribution of renal blood flow, activation of renin angiotensin system, release of various mediators. In this study, we observed the effect of nicardipine, one of the calcium channel blockers that commonly used, on the systemic hemodynamics and the renal fuctions. METHODS: A total of 13 mongrel dogs were divided into two groups: control group (C, n = 7), nicardipine administration group (N, n = 6). After brachial arterial and Swan-Ganz catheterization, midline abdominal incision was made. For the aortic cross clamping the supraceilac aorta was exposed and the doppler flowmeter probe was placed on the left renal artery. The thermal diffusion microprobe was inserted in the renal parenchyme to measure local renal perfusion. At sixty minutes after aortic cross clamping, systemic hemodynamic data, renal blood flow and local renal perfusion were measured and at 1, 2, 3, 4, 5 and 6 hours after unclamping the same parameters were measured. RESULTS: There were no differences on renal blood flow, renal perfusion and oxygen extraction ratio between two groups. The renal blood flow and renal perfusion did not recover to the baseline level after unclamping in both groups. The plasma renin activity, serum creatinine concentration and cystatin-c did not show any difference between groups respectively. CONCLUSIONS: We concluded that the administration of nicardipine after supraceliac aortic unclamping to improve the renal function was not effective in experimental dogs.


Sujets)
Animaux , Chiens , Anévrysme , Aorte , Inhibiteurs des canaux calciques , Cathétérisme par sonde de Swan-Ganz , Constriction , Créatinine , Débitmètres , Hémodynamique , Incidence , Nicardipine , Oxygène , Perfusion , Plasma sanguin , Artère rénale , Circulation rénale , Insuffisance rénale , Rénine , Système rénine-angiotensine , Diffusion thermique
6.
Korean Journal of Anesthesiology ; : 251-257, 2003.
Article Dans Coréen | WPRIM | ID: wpr-226259

Résumé

BACKGROUND: The Pringle maneuver is traditionally used during the hepatectomy to reduce the blood loss. However, there have been no studies about local liver perfusion (LLP) and oxygen extraction ratio (ERO2) following hepatic ischemia and reperfusion. In this study, the changes in hepatic blood flow (HBF), LLP, ERO2 following hepatic ischemia and reperfusion were observed. And the effects of low dose nitroglycerin (NTG) were observed too. METHODS: A total of 14 mongrel dogs were divided into two groups; control group (C, n = 7), NTG administration group (N, n = 7), NTG administration was started 5 minutes before HBF occlusion. After femoral arterial and central venous catheterization, midline abdominal incision was made. Hepatic artery (HA) and portal vein (PV) were exposed to clamp and declamp. And then doppler flowmeter probes were applied on HA and PV to measure their blood flow and a thermal diffusion microprobe was inserted in the liver parenchyme to measure LLP. RESULTS: The HA and PV blood flow, LLP, and ERO2 were not different between two groups. However, HBF more increased compared to the baseline level in N group after reperfusion. In C group, LLP did not recover after reperfusion. The LLP in N group recovered to the baseline level after reperfusion. CONCLUSIONS: In conclusion, it was observed that the HBF increased and LLP recovered to the baseline level after reperfusion by administration of low dose NTG. The use of low dose NTG is safe and effective for hepatectomy.


Sujets)
Animaux , Chiens , Cathétérisme veineux central , Voies veineuses centrales , Débitmètres , Hépatectomie , Artère hépatique , Ischémie , Foie , Nitroglycérine , Oxygène , Perfusion , Veine porte , Reperfusion , Diffusion thermique
7.
Korean Journal of Anesthesiology ; : 867-876, 2003.
Article Dans Coréen | WPRIM | ID: wpr-186853

Résumé

BACKGROUND: Pringle maneuver and nitroglycerin (NTG) administration to reduce hemorrhage during hepatectomy may affect renal blood flow (RBF) and renal cortical perfusion (RCP) by reducing blood pressure (BP), perload and others. However, so far there have been no studies on RBF and RCP changes during and after hepatic vascular maneuver in hepatectomy. The purpose of this study was to evaluate the changes in RBF and RCP along with low dose (2 microgram/kg/min) NTG with or without low dose (3 microgram/kg/min) dopamine after the occlusion and reperfusion of hepatic blood flow. METHODS: Eighteen mongrel dogs were divided into three groups according to drug administration after hepatic reperfusion; control group (group C, n = 6), NTG group (group N, n = 6), and NTG with dopamine group (group N-D, n = 6). After femoral arterial and central venous catheterization, a midline abdominal incision was made, and the hepatic artery (HA) and the portal vein (PV) were exposed for clamping and declamping. Thereafter, the right renal artery was exposed, and a doppler probe for measuring RBF was placed around the right renal artery, and a thermal diffusion microprobe was inserted in the renal outer cortex to measure RCP. Hemodynamics, RBF and RCP, were repeatedly measured before and after HA and PV reperfusion. RESULTS: No significant change in heart rate was observed in any group. The BP decreased in all the groups after HA and PV occlusion. In group C, the BP recovered to the baseline level after hepatic reperfusion but not in groups N and N-D. The RBF and RCP decreased in all groups after HA andPV occlusion. The RBF increased compared to baseline in N-D after hepatic reperfusion, and the RCP increased versus baseline in N-D, 10 minutes after hepatic reperfusion. CONCLUSIONS: In conclusion, it was observed that the RBF and RCP increased compared to baseline by administering dopamine during HA and PV reperfusion. Therefore, the prophylactic administration of low dose dopamine during hepatectomy offers an effective method of protecting renal function.


Sujets)
Animaux , Chiens , Pression sanguine , Cathétérisme veineux central , Voies veineuses centrales , Constriction , Dopamine , Rythme cardiaque , Hémodynamique , Hémorragie , Hépatectomie , Artère hépatique , Foie , Nitroglycérine , Perfusion , Veine porte , Artère rénale , Circulation rénale , Reperfusion , Diffusion thermique
8.
Journal of the Korean Surgical Society ; : 312-320, 2003.
Article Dans Coréen | WPRIM | ID: wpr-36626

Résumé

PURPOSE: Various vasopressor agents are used to raise systemic vascular resistance (SVR) during liver transplantation. After grafted liver was reperfused, postreperfusion syndrome could be treated with various vasopressors. However, epinephrine can decrease the splanchnic perfusion and oxygen saturation and then hepatic blood flow would be jeopardized. Decreased hepatic blood flow might result in centrilobular necrosis which contributes to disruption of liver functions. We tried to know the effect of epinephrine on tissue perfusion of the liver. METHODS: In this study, measurement of hepatic microcirculation (HMC) and hemodynamic changes was performed in eight dogs to investigate the effect of vasopressors on hepatic microcirculation. Animals were divided into four groups in which low-dose epinephrine (0.05mug/Kg/min) and high-dose epinephrine (0.5mug/Kg/min) were randomly infused into the systemic vein and portal vein (1/6 of systemic dose) for ten minutes. Hepatic microcirculation was measured by Thermal Diffusion Probe. RESULTS: At low-dose systemic infusion of epinephrine, mean arterial bloodpressure (MABP), cardiac output (CO), and hepatic microcirculation (HMC) were significantly increased but systemic vascular resistance (SVR) was decreased. On high-dose epinephrine, MABP, CO (P=0.01), and SVR were significantly increased without changes of HMC. Intraportal infusion of low- and high-dose epinephrine increased hepatic vein pressure and SVR, respectively. CONCLUSION: These results would provide clues that systemic low-dose epinephrine infusion is enough to raise HMC and high-dose infusion of epinephrine to raise SVR could be used without jeopardizing HMC.


Sujets)
Animaux , Chiens , Débit cardiaque , Épinéphrine , Hémodynamique , Veines hépatiques , Foie , Transplantation hépatique , Microcirculation , Nécrose , Oxygène , Perfusion , Veine porte , Diffusion thermique , Transplants , Résistance vasculaire , Vasoconstricteurs , Veines
9.
Korean Journal of Anesthesiology ; : 355-367, 2002.
Article Dans Coréen | WPRIM | ID: wpr-184695

Résumé

BACKGROUND: The measurement of perfusion is very important to understanding the physiology in the ischemic and reperfused tissue. However, no studies have been reported using a beating heart with a real time-continuous perfusion measurement system (QFlow(TM)400) to check local tissue perfusion so far. In this study, the changes in hemodynamics and local myocardial perfusion (LMP) after coronary reperfusion with nicardipine (a calcium channel blocker) administration were evaluated. METHODS: A total of 10 mongrel dogs were divided into two groups; group I (control group, n = 5), group II (nicardipine group, n = 5). After femoral arterial, pulmonary arterial and left ventricular catheterization, a left thoracotomy was performed. Next, the left anterior descending coronary artery (LAD) was exposed, and a thermal diffusion microprobe was inserted in the myocardium to measure LMP. RESULTS: In group II, blood pressure and systemic vascular resistance after LAD reperfusion were significantly decreased compared to group I. Cardiac output and stroke volume were more rapidly increased in group II, while left ventricular stroke work was decreased in group II. In group I, the LMP after LAD reperfusion did not recover to the baseline level, but the LMP did recover 20 minutes after LAD reperfusion and was increased more compared to the baseline level at 30 minutes after LAD reperfusion in group II. There were no significant differences in dP/dt between the two groups. CONCLUSIONS: We found that the LMP did not recover to the baseline level in the early state of LAD reperfusion; however, nicardipine administration increased the LMP after the early reperfusion period. Cardiac output and stroke volume were also more rapidly increased when nicardipine was administrated.


Sujets)
Animaux , Chiens , Pression sanguine , Canaux calciques , Débit cardiaque , Cathétérisme , Cathéters , Vaisseaux coronaires , Coeur , Hémodynamique , Reperfusion myocardique , Myocarde , Nicardipine , Perfusion , Physiologie , Reperfusion , Accident vasculaire cérébral , Débit systolique , Diffusion thermique , Thoracotomie , Résistance vasculaire
10.
Korean Journal of Anesthesiology ; : 763-773, 2002.
Article Dans Coréen | WPRIM | ID: wpr-154258

Résumé

BACKGROUND: To reduce massive blood loss during a hepatectomy, many anesthesiologists have used the technique of low central venous pressure maintenance by administration of low dose nitroglycerin (NTG) and/or intravenous fluid reduction. However, so far there have been no studies about local liver perfusion (LLP) changes after hepatic artery (HA) or portal vein (PV) reperfusion in patients receiving nitroglycerin administration. In this study, the changes in hemodynamics and LLP following HA and PV reperfusion along with low dose (2micro gram/kg/min) NTG administration in dogs were observed. METHODS: A total of 20 mongrel dogs were divided into four groups; HA occlusion and reperfusion group (H, n = 5), NTG administration group during the reperfusion on H (H-NTG, n = 5), PV occlusion and reperfusion group (P, n = 5), NTG administration group during the reperfusion on P (P-NTG, n = 5). After femoral and pulmonary arterial catheterization, a midline abdominal incision was made. HA and PV were exposed to clamp and declamp. A thermal diffusion microprobe was inserted in the liver parenchyme to measure LLP. RESULTS: The PV blood flow was not changed after HA occlusion, but HA blood flow increased after PV occlusion. The LLP decreased after HA and PV occlusion. The LLP recovered to the baseline level in group H-NTG after HA reperfusion, but the LLP was more increased compared to the baseline level in group H. In group P, the LLP did not recover after PV reperfusion, but the LLP in group P-NTG recovered to the baseline level after PV reperfusion. CONCLUSIONS: In conclusion, it was observed that the LLP recovered to the baseline level by administration of NTG after PV reperfusion. However, the LLP did not increase after HA reperfusion by administration of low dose NTG.


Sujets)
Animaux , Chiens , Humains , Cathétérisme , Cathéters , Pression veineuse centrale , Hémodynamique , Hépatectomie , Artère hépatique , Foie , Nitroglycérine , Perfusion , Veine porte , Reperfusion , Diffusion thermique
11.
Korean Journal of Anesthesiology ; : S1-S4, 2002.
Article Dans Anglais | WPRIM | ID: wpr-203928

Résumé

BACKGROUND: The measurement of perfusion is very important to understand the physiology of the tissue level. The QFlow(TM)400 perfusion measurement system is able to measure local tissue perfusion. The aim of this study was to validate thermal diffusion microprobe (TDM) in estimating myocardial blood flow during coronary artery occlusion and reperfusion in an animal beating heart model. METHODS: A total of 5 mongrel dogs were entered into the study. A left thoracotomy was performed under general anesthesia. After the left anterior descending coronary artery (LAD) was exposed, a TDM was inserted in the myocardium at the exposed LAD distributed area. The local myocardial perfusion was measured before, during and after LAD occlusion. To find the usefulness of TDM in a beating heart, k values were checked during the study. The k value or tissue conductivity should not exceed 6.23 mW/cmoC in this system. RESULTS: All the k values were below 6.23 mW/cmdegreesC in this study. Baseline local myocardial perfusion was 52.0 +/- 18.3 ml/min/100 g. During LAD occlusion, the local myocardial perfusion was decreased to 18.4 +/- 12.0 ml/min/100 g. At 10, 20 and 30 minutes after LAD reperfusion, the perfusion was recovered to 38.5 +/- 23.2, 27.2 +/- 17.4 and 36.2 +/- 17.2 ml/min/100 g, respectively, but the values at 20 and 30 minutes of reperfusion were significantly lower compared to baseline value. CONCLUSIONS: We could use the QFlow(TM)400 perfusion measurement system to measure myocardial injury produced by ischemia and subsequent reperfusion in a beating heart. With this system, we found that the local myocardial perfusion was not recovered to the baseline level in early state of the coronary reperfusion.


Sujets)
Animaux , Chiens , Anesthésie générale , Vaisseaux coronaires , Coeur , Ischémie , Reperfusion myocardique , Myocarde , Perfusion , Physiologie , Reperfusion , Diffusion thermique , Thoracotomie
12.
Journal of Korean Neurosurgical Society ; : 903-906, 2001.
Article Dans Coréen | WPRIM | ID: wpr-145249

Résumé

OBJECTIVE: The brain temperature is about 0.4-1 degrees C higher than that of the other peripheral body area. But most of these results have been obtained in normothermic condition. The objective of this study is to evaluate the temperature difference between the brain and axilla, in patients under hypothermia. METHODS: Sixty-three patients(37 women and 26 men) who underwent craniotomy with implantation of the thermal diffusion flowmetry sensor were included in this study. The temperature of the cerebral cortex and axilla was measured every 2 hours, simultaneously. The patient group was divided according to axillary temperature hyperthermia(over 38 degrees C), normothermia(36-38 degrees C) and hypothermia(under 36 degrees C). Total 1671 paired sample data were collected and analyzed. RESULTS: The temperature difference between the cerebral cortex and the axilla was 0.45+/-1.04 degrees C in hyperthermic patients, 0.97+/-1.1 degrees C in normothermic patients and 1.04+/-0.81 degrees C in hypothermic patients. The temperature difference has statistical significance in each group(unpaired t-test, p<0.05). CONCLUSION: From our study the temperature difference between the brain and the axilla in hypothermic condition increased more than that of normothermic state. And in hyperthermic condition, the temperature difference decreased.


Sujets)
Femelle , Humains , Aisselle , Encéphale , Cortex cérébral , Craniotomie , Fièvre , Hypothermie , Rhéologie , Diffusion thermique
13.
Korean Journal of Anesthesiology ; : 568-574, 2001.
Article Dans Coréen | WPRIM | ID: wpr-51638

Résumé

BACKGROUND: Carbon dioxide is a potent cerebral vasodilator. The change of carbon dioxide partial pressure may influence the intracranial pressure and the patients' neurological outcome. There are few reports about the influence of end-tidal CO2 (ETCO2), arterial CO2 (PaCO2) and its pressure difference P(a-ET)CO2 during a craniotomy on the Glasgow coma scale (GCS) score for evaluation of neurological status. In this study, authors tried to discover the influence of PaCO2, PETCO2, and P(a-ET)CO2 on neurological outcome. METHODS: The data of PaCO2 and PETCO2 and P(a-ET)CO2 during a craniotomy was saved. The correlations between each parameter, the GCS score and rCoBF were analyzed. To prevent a direct effect on carbon dioxide tension, blood pressure and body temperature were maintained within a normal range. At the same time, we inserted a probe of the thermal diffusion flowmetry monitor in the subdural space to monitor the regional cortical cerebral blood flow (rCoBF). All the data was saved simultaneously, at the moment of dura closure. RESULTS: There was a fair correlation between the PaCO2 and PETCO2. A low PaCO2 level correlated well with a good GCS score but, not with PETCO2. The mean P(a-ET)CO2 value was 4.4 +/- 3.1 mmHg. The high P(a-ET)CO2 level correlated well with a poor GCS score. High rCoBF correlated well with a good GCS score. However, the changes of PaCO2 and PETCO2 showed no correlations with the rCoBF. CONCLUSIONS: As a result, if we decrease the PaCO2 level by hyperventilation and increase the rCoBF level through proper management during anesthesia, we can improve the patients' neurological outcome.


Sujets)
Humains , Anesthésie , Pression sanguine , Température du corps , Dioxyde de carbone , Craniotomie , Échelle de coma de Glasgow , Hyperventilation , Pression intracrânienne , Pression partielle , Pronostic , Valeurs de référence , Rhéologie , Espace subdural , Diffusion thermique
14.
Korean Journal of Anesthesiology ; : 613-618, 2000.
Article Dans Coréen | WPRIM | ID: wpr-24953

Résumé

BACKGROUND: It is believed that the brain temperature is about 1oC higher than the peripheral temperature. However the result has been mostly obtained in normothermia patients. The objective of this study was to evaluate whether the brain and axillary temperature difference would be increased or decreased in hypothermic patients. METHODS: Sixty-six patients who underwent a craniotomy with implantation of the thermal diffusion flowmetry sensor (SABER 2000; Flowtornics, Phonics, USA) were included in this study. The temperature of the cerebral cortex and axilla were measured simultaneously every 2 hours. The patient groups were divided according to their axillary temperature, hyperthermia (over 38oC: 127 paired data), normothermia (36 38oC: 1626 paired data) and hypothermia (under 36oC: 285 paired data). A total 2048 paired sample data were collected and analyzed. RESULTS: The temperature difference between the cerebral cortex and the axilla was 0.46 +/- 1.04 oC in hyperthermic patients, 0.89 +/- 1.65 C in normothermia patients and 1.04 +/- 0.82 C in hypothermic patients. The temperature difference has statistical significance in each group (unpaired t-test, P > 0.05). CONCLSIONS: Our results demonstrate that the temperature difference in the brain shows a difference according to the patients, body temperature. In normothermia the temperature difference between the brain and the axilla was about 1oC. However in a hyperthermic state, the temperature difference decreased and in a hypothermic state, the temperature difference increased.


Sujets)
Humains , Aisselle , Température du corps , Encéphale , Cortex cérébral , Craniotomie , Fièvre , Hypothermie , Rhéologie , Diffusion thermique
15.
Journal of Korean Neurosurgical Society ; : 1106-1114, 1999.
Article Dans Coréen | WPRIM | ID: wpr-207019

Résumé

OBJECTIVE: Nitric oxide and endothelin-1 are two endothelium derived relaxing and constricting factors probably involved in the pathogenesis of cerebral vasospasm after subarachnoid hemorrhage. The aim of this study is to ascertain the effects of nitric oxide donor(nitroglycerine) to reverse endothelin-1 induced cerebral vasoconstriction in vivo, when administered to the adventitial side of the basilar artery exposed through a transclival approach and common carotid artery exposed through a transcervical approach. METHODS: The exposed arteries were subjected to pharmacological manipulations and direct observation of the changes of their sizes under surgical microscope. Measurements of blood pressure, pulse rate and cerebral blood flow using thermal diffusion flowmetry during the drug infusion were done. RESULTS: 1) Nitroglycerine rapidly and completely reversed endothelin-1-induced vasoconstriction. The average value for maximal vasoconstriction by endothelin-1/synthetic cerebrospinal fluid was 58.3% of baseline arterial diameter and occurred within 30 minutes. 2) The nitroglycerine administered via adventitial side of the blood vessel was not associated with any changes in systemic blood pressure nor other vital signs. 3) Same changes occurred in the common carotid artery, although the severity of the occurrence and reversal of vasospasm were not significant compared to those of basilar artery. CONCLUSION: Intrathecally administered nitroglycerine was effective in reversing cerebral vasoconstriction without causing systemic hypotension. These findings provides the potential for the development of targeted therapy to reverse cerebral vasospasm after subarachnoid hemorrhage using nitric oxide donors.


Sujets)
Artères , Artère basilaire , Pression sanguine , Vaisseaux sanguins , Artère carotide commune , Liquide cérébrospinal , Endothéline-1 , Endothélium , Rythme cardiaque , Hypotension artérielle , Monoxyde d'azote , Donneur d'oxyde nitrique , Nitroglycérine , Rhéologie , Hémorragie meningée , Diffusion thermique , Vasoconstriction , Vasospasme intracrânien , Signes vitaux
16.
Journal of Korean Neurosurgical Society ; : 1452-1458, 1999.
Article Dans Coréen | WPRIM | ID: wpr-52359

Résumé

OBJECTIVE: The tolerance and the safety of temporary arterial occlusion in aneurysm surgery are variable among patients because of individual variations of their collateral circulation. We recorded continuous intraoperative regional cortical blood flow(rCoBF) with thermal diffusion flowmetry(TDF) in patients with aneurysmal subarachnoid hemorrhage to determine a safe time limit for temporary occlusion in relation to rCoBF. PATIENTS AND METHODS: From Oct. '97 to Sep. '98, 40 patients with cerebral aneurysm at anterior cerebral artery(ACA) or middle cerebral artery(MCA) were included in this study. The TDF probe was placed over the cortex which was supplied by corresponding arteries. For data analysis, we included only the patients with Hunt-Hess grade I or II on admission. RESULTS: The total occlusion time of the proximal parent artery in 24 patients was on average 21.8 minutes, ranging between 9 minutes and 68 minutes. The lowest rCoBF in relation to temporary occlusion time in patient with excellent outcome was as follows: 0ml/100mg/min for 13 minutes and 6ml/100mg/min(11% of basal rCoBF) for 18 minutes in the middle cerebral artery and bilateral anterior cerebral arteries, respectively. The multiple regression equation regarding safe time for temporary clipping was as follows: safe time = 5.5 + 0.06 X rCoBF intra + 0.25 X rCoBF pre. And reperfusion time for the full recovery of rCoBF was within 4 minute in most cases, except some no-reflow cases. CONCLUSION: In our study with proper brain protection, a safe time limit for temporary occlusion was calculated 18 minutes even at 0ml/100mg/min in the MCA and this technique seems to be very useful to detect a continuous real time change of rCoBF during aneurysm surgery.


Sujets)
Humains , Anévrysme , Artère cérébrale antérieure , Artères , Encéphale , Circulation collatérale , Anévrysme intracrânien , Artère cérébrale moyenne , Parents , Reperfusion , Statistiques comme sujet , Hémorragie meningée , Diffusion thermique
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