منابع مشابه
[Myocardial protection in cardiac surgery.].
BACKGROUND AND OBJECTIVES Myocardial protection defines the set of strategies aiming at attenuating the intensity of myocardial ischemia-reperfusion injury during heart surgery and its harmful consequences on myocardial function. A better understanding of pathophysiological phenomena related to ischemia-reperfusion events and of the anesthetic-induced heart protection has given to the anesthesi...
متن کاملCerebral Protection During Cardiac Surgery
Despite many advances in perioperative care, cerebral injury from cardiac surgery remains an important source of patient morbidity and mortality. This injury has a range of clinical manifestations, including stroke and encephalopathy, which occur in 1–3% and 10–15% of patients, respectively. Postoperative cognitive dysfunction (POCD) is more common, affecting 15–40% of patients 1 month after su...
متن کاملProblems of Cold Agglutinins in Cardiac Surgery: How to Manage Cardiopulmonary Bypass and Myocardial Protection
Cold agglutinins are of unique relevance in cardiac surgerybecause of the use of hypothermic cardiopulmonary bypass (CPB). Cold autoimmune diseases are defined by the presence of abnormal circulating proteins (usually IgM or IgA antibodies) that agglutinate in response to a decrease in body temperature. These disorders include cryoglobulinemia and cold hemagglutinin disease.Immunoglobulin M aut...
متن کاملMyocardial protection in pediatric cardiac surgery.
The combination of hypothermia and potassium cardioplegic arrest has become the most common method of myocardial protection in the evolution of myocardial protection. This review focuses on myocardial protection in pediatric cardiac surgery. In the 1980s, blood was added to cardioplegia solution in order to supply the myocardium with oxygen, nutrients, and for buffering purposes. Similar myocar...
متن کاملPerioperative Organ Protection in Cardiac Surgery
Perioperative organ protection refers to the set of strategies to lessen the intensity of the surgical and anesthetic stress. A better understanding of mechanisms involved in tissue hypoperfusion, ischemia-reperfusion phenomena, and the protection triggered by certain anesthetic techniques, drugs and adjuvants have been very useful in perioperative organ protection, especially in patients with ...
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ژورنال
عنوان ژورنال: Anesthesiology Clinics
سال: 2008
ISSN: 1932-2275
DOI: 10.1016/j.anclin.2008.03.003