We made an experimental study of dogs undergoing extracorporeal circulation and used bubble oxygenators (BOs) (N = 8) or membrane oxygenators (MOs) (N = 7). Hematologic changes were related with alterations in tissue oxygen supply, which reflect microcirculatory changes. The tissue oxygen supply was measured with an eight-wire P o 2 electrode on the surface of the sartorius muscle. From 104 P o 2 values a frequency distribution curve (P o 2 histogram) was computed. Hematologic studies, in particular platelet numbers and function (adenosine diphosphate-induced aggregation), were performed. The extracorporeal circuit was primed with about 1 L of homologous blood. A momentary fall of platelet numbers and function occurred after the start of partial bypass (400 ml/min). Arterial pressures frequently showed an initial rise followed by a severe but transient drop in pressure, while the continuously monitored muscle surface P o 2 dropped to zero for a longer period. During total bypass, tissue oxygen supply was restored and was sufficient in both the BO and MO groups, as indicated by the improved P o 2 histograms (means between 3.45 and 4.50 kPa). After extracorporeal circulation a clear distinction appeared between the BO and the MO groups. In the BO group impaired P o 2 histograms (mean 1.83 ± 0.53 kPa) were observed, which coincided with a high systemic vascular resistance (mean 0.69 ± 0.14 kPa min/L/kg), low cardiac output (71 ± 9 ml/min/kg), and decreased platelet numbers (33.10 9 /L ± 16) and function (11% ± 6%). In comparison, the MO group had normal histograms (mean 5.45 ± 0.82 kPa, p < 0.05), normal systemic vascular resistance values (0.42 ± 0.07 kPa min/L/kg, N.S.), normal cardiac output (101 ± 12 L/min/kg, p < 0.05), and better maintained platelet numbers (128.10 9 /L ±23, p < 0.0005) and function (30% ± 11, p < 0.01). In this study, advantages of MO over BO perfusion could be quantitated in terms of better tissue oxygen supply after extracorporeal circulation, correlating with a better hemocompatibility. P o 2 muscle surface histograms appeared to be a reliable method to evaluate tissue oxygen supply, which reflects tissue perfusion.
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