[Effect of propofol and midazolam on cerebral oxygen supply and demand imbalance during cardiopulmonary bypass].
Thirty patients undergoing heart valve replacement were divided randomly into three groups (n = 10): control group, propofol group and midazolam group. Jugular bulb blood oxygen saturation (SjO2), arterialvenous oxygen content difference (Da-vO2) and cerebral oxygen extraction rate(CEO2) were measured at various periods of cardiopulmonary bypass (CPB). The results showed: SjO2 decreased significantly, Da-vO2 and CEO2 increased markedly during rewarming period in control group; but in propofol group and midazolam group, SjO2, CEO2 and Da-vO2 did not decline significantly compared with baseline. It is suggested that administering propofol or midazolam is helpful in avoiding cerebral oxygen supply and demand imbalance during CPB.