Correction to: Hypothermic circulatory arrest induced coagulopathy: rotational thromboelastometry analysis
نویسندگان
چکیده
منابع مشابه
Deep 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...
متن کاملOptimal 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 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...
متن کاملNeurologic Injury Following Hypothermic Circulatory Arrest
Cardiothoracic surgeons are faced with the challenge of protecting the brain during the sensitive time of interruption of normal cerebral blood flow. The brain is an exceptionally complex organ with a functional anatomy that is difficult both to understand and assess. Experimental and clinical studies have shown that the mechanism of neural injury is multifactorial. As such, discussions regardi...
متن کاملProtecting The Brain During Deep Hypothermic Circulatory Arrest
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...
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ژورنال
عنوان ژورنال: General Thoracic and Cardiovascular Surgery
سال: 2020
ISSN: 1863-6705,1863-6713
DOI: 10.1007/s11748-020-01416-0