Effect of OpenHeart Surgery on the Body Composition of Infants and Young Children

Autor: BRANS, YVES W., DWECK, HARRY S., HARRIS, HOWARD B., PARR, GRANT V. S., BAILEY, PENRHYN E., KIRKLIN, JOHN W., CASSADY, GEORGE
Zdroj: Pediatric Research (Ovid); July 1981, Vol. 15 Issue: 7 p1024-1028, 5p
Abstrakt: Body water content and distribution were determined in 16 children aged 2 wk to 28 months before and after open-heart surgery for correction of congenital cardiac defects. Operative procedures were performed using hypothermia and extracorporeal oxygenation. On the day before and the day after surgery, total body water was estimated as the antipyrine space (APS); extracellular water, as the corrected bromide space (CBS), and plasma volume, as the 10-min T-1824-albumin space. Intracellular water (ICW) was assumed to be the difference between APS and CBS; interstitial water was calculated from plasma volume and CBS. Before initiation and after completion of extracorporeal circulation, a pectoral muscle biopsy was performed, and a blood sample was obtained. Muscle total water (TW) content was determined by desiccation, extracellular water (ECW) was estimated as the corrected chloride space, and ICW was assumed to be the difference between TW and ECW. Plasma sodium, potassium, chloride, glucose, and osmolality contents were determined by routine methods. All studies were not completed in all patients.
Databáze: Supplemental Index