Blood and brain tissue gaseous strategy for profoundly hypothermic total circulatory arrest
نویسندگان
چکیده
منابع مشابه
Optimal pH strategy for hypothermic circulatory arrest.
surgery. Microembolization of atherosclerotic debris, fat, and air was probably the cause. It followed that if cerebral blood flow was increased to excessive, " luxuriant " levels by adding carbon dioxide, then injury would be increased. Randomized trials of neuropsycho-metric outcome have confirmed just this. Three of four trials demonstrated an improved cognitive outcome in adults undergoing ...
متن کاملDeep hypothermic circulatory arrest.
Effective cerebral protection remains the principle concern during aortic arch surgery. Hypothermic circulatory arrest (HCA) is entrenched as the primary neuroprotection mechanism since the 70s, as it slows injury-inducing pathways by limiting cerebral metabolism. However, increases in HCA duration has been associated with poorer neurological outcomes, necessitating the adjunctive use of antegr...
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The effect of deep hypothermic circulatory arrest (DHCA) in children with congenital heart disease on subsequent cognitive and motor performance is of great importance, and a number of case reports and patient series document neurological impairment associated with DHCA(1,2). However, only one large, controlled investigation of this issue has been conducted. Between 1988 and 1992, 171 infants w...
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Neurological complications after cardiac surgery are a recognized source of prolonged hospitalization, high hospital cost, altered quality of life, and mortality. Surgery involving the aortic arch is a particularly high risk procedure associated with stroke rates over four times higher than after CABG surgery (~9% vs ~2%). Although the use of selective antegrade cerebral perfusion via the brach...
متن کاملPerioperative management of deep hypothermic circulatory arrest.
m d t r e t n a a h c n i l r t 1 t d u t 2 g g l t HE GOAL OF this article is to provide a review of deep hypothermic circulatory arrest (DHCA), covering major isues including pathophysiology of ischemic injury, organ protecion (both pharmacologic and nonpharmacologic), temperature ontrol, and perfusion methods. The purpose of this review is to erve as a resource for board review or as introdu...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1991
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(20)31418-5