The dynamic air bubble trap reduces cerebral microembolism during cardiopulmonary bypass.

OBJECTIVE: Neuropsychologic disorders are common after coronary artery bypass operations. Air microbubbles are identified as a contributing factor. A dynamic bubble trap might reduce the number of gaseous microemboli. METHODS: A total of 50 patients undergoing coronary artery bypass operation were recruited for this study. In 26 patients a dynamic bubble trap was placed between the arterial filter and the aortic cannula (group 1), and in 24 patients a placebo dynamic bubble trap was used (group 2). The number of high-intensity transient signals within the proximal middle cerebral artery was continuously measured on both sides during bypass, which was separated into 4 periods: phase 1, start of bypass until aortic clamping; phase 2, aortic clamping until rewarming; phase 3, rewarming until clamp removal; and phase 4, clamp removal until end of bypass. S100 beta values were measured before, immediately after, and 6 and 48 hours after the operation and before hospital discharge. RESULTS: The bubble elimination rate during bypass was 77% in group 1 and 28% in group 2 (P <.0001). The number of high-intensity signals was lower in group 1 during phase 1 (5.8 +/- 7.3 vs 16 +/- 15.4, P <.05 vs group 2) and phase 2 (6.9 +/- 7.3 vs 24.2 +/- 27.3, P <.05 vs group 2) but not during phases 3 and 4. Serum S100 beta values were equally increased in both groups immediately after the operation. Group 2 patients had higher S100 beta values 6 hours after the operation and significantly higher S100 beta values 48 hours after the operation (0.06 +/- 0.14 vs 0.18 +/- 0.24, P =.0133 vs group 2). Age and S100 beta values were correlated in group 2 but not in group 1. CONCLUSION: Gaseous microemboli can be removed with a dynamic bubble trap. Subclinical cerebral injury detectable by increases of S100 beta disappears earlier after surgical intervention.

Effects of sow-crate design on health and performance of sows and piglets.

The effects of sow-crate design on certain health and performance traits of 211 sows and their piglets were evaluated with a 2 X 2 X 4 factorial arrangement of crate width (narrow [N = 55 cm] or wide [W = 64] between lowest horizontal pipes), length (short [S = 183 cm] or long [L = 198] from rump stop to front gate) and side type (lower side of sow crate "fingered" [F], "bowed" bottom bar--marking the sow zone 19.3 cm wider at the bottom--20 cm above the floor [B], or straight bottom bar 20 cm [S20] or 25 cm above the floor [S25]). Between d 107 to 110 postcoitum and d 21 postpartum, no crate design variable affected the sow's body-weight change, but side type tended to affect the most prominent head-neck and leg integumentary lesions. Number of stillborn piglets/litter was greater with W crates than with N, except with crates having S20 sides, and was greater with L crates than with S. More piglets were crushed to death in W crates than N crates, and stillbirth frequency was greater in L crates than in S, but overall preweaning piglet mortality was affected by no crate-design feature. At both 7 and 21 d of age, piglets' knee lesions were most severe with S20 crates and least with S25, whereas face-lesion score was unaffected by crate design. Piglet body weight at age 21 d was least with S20 crates and greatest with F and S25. No crate-design variable affected within-litter variation in piglet growth rate. Sow-crate design affected important health and performance traits of piglets through postnatal d 21.

Effects of sow-crate design on sow and piglet behavior.

The effects of sow-crate design on certain behaviors of sows and piglets at farrowing and again approximately 3 wk later were evaluated with a 2 x 2 x 4 factorial arrangement of crate width (narrow [N = 55 cm] or wide [W = 64] between lowest horizontal pipes), length (short [S = 183 cm] or long [L = 198] from rump stop to front gate) and side type (lower side of sow crate "fingered" [F], "bowed" bottom bar 20 cm above the floor [B], or straight bottom bar 20 cm [S20] or 25 cm above the floor [S25]). Farrowing-crate design influenced both sow and piglet behaviors both during and immediately after parturition and during nursing-suckling bouts approximately 3 wk later. Activities of 51 sows and their piglets were videorecorded during and immediately following parturition. Sow-crate design affected neither the interval between births of successive piglets in a litter nor the frequency of standing by the sow during parturition. Latency from birth to first mammary contact (LMC) was greater with S25-sided and S sow crates, and especially with S, W crates. A significant interaction occurred between sow-crate side type and dimensions; LMC was longer when S25 sides were combined with S or W crates. Data on suckling behavior were collected from 113 litters over three successive sucklings approximately 3 wk after farrowing. Sow-crate design had no effect either on the consistency with which a piglet suckled a particular teat or teat pair or on the frequency of multiple-teat use. Piglets maintained fewer functional teats with S, S20 crates. The distribution of functional teats between rows was less symmetric with S crates. Piglets nursed with their bodies over a side bar more frequently with B- and S20-sided crates. The sow permitted her piglets to suckle while she was in a vertical stance more frequently with S and N crates, and especially with S, N crates. Sow-crate design affected important behaviors of sows and piglets both during and immediately after parturition as well as during nursing-suckling bouts about 3 wk later.