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Hypothermia and cerebral metabolism

Hypothermia and cerebral metabolism
The relationship between O2 consumption and body temperature in experimental studies involving dogs (smaller white circles) compared with the relation between cerebral metabolic O2 consumption and body temperature based on the Q10 ratio determined in adult humans (larger gray circles). Assuming the brain can tolerate a period of five minutes of ischemia at 37°C and that the ischemic tolerance of neurons is directly proportional to O2 consumption, it is predicted that the brain can tolerate a period of 17 to 24 minutes of circulatory arrest under conditions of deliberate hypothermia at 20°C.
O2: oxygen; Q10 ratio: the ratio of the cerebral metabolic rate (CMRO2) at a temperature (t) and at a temperature of t - 10°C (ie, the ratio of CMRO2 over a 10°C temperature difference).
Adapted from:
  1. Gordon AS, Meyer BW, Jones JC. Open-heart surgery using deep hypothermia without an oxygenator. J Thorac Cardiovasc Surg 1960; 40:787.
  2. McCullough JN, Zhang N, Reich DL, et al. Cerebral metabolic suppression during hypothermic circulatory arrest in humans. Ann Thorac Surg 1999; 67:1895.
Graphic 108397 Version 1.0

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