Cerebral protection during open-heart surgery.

Cerebral 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...

Cerebral blood flow and metabolism during open-heart surgery.

Perfusion During Open-Heart Surgery

PERFUSION DURING OPEN-HEART SURGERY Since the description of the Azygos factor by Andreasen and Watson in 1951, perfusion criteria have been much debated. Early investigators fluctuated between a high and low flow rates and the debate continues today. 2 · 3 ' •· 5 '" Hypothermia has been both widely acclaimed and generally repudiated. 7 • 8 Anoxic arrest of the heart' 0 ' n. z, 12 versus corona...

Cerebral protection during aortic arch surgery.

Anesthesia in Cardiac Surgery (Open-Closed Heart)

In this paper the duties of an anesthesiologist and his right of i=;electing patient is discussed. La,ter, we di:=:cuss the <::mergencies cf heart surgery, pre up visit and alsc few dcails of pre up medication cf thei,e pati<mts. We also touch on the stages of anesthPsia and point to our preference for the use cf artery and vein for arterial and venous cannulation. In this paper we discuss in b...