Dramatic increase in serum trypsinogens, SPINK1 and hCGβ in aortic surgery patients after hypothermic circulatory arrest
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چکیده
منابع مشابه
Intrathecal morphine in two patients undergoing deep hypothermic circulatory arrest during aortic surgery -A case report-
We retrospectively report the first use of intrathecal morphine prior to incision in two male patients undergoing a complex aortic reconstruction, who required complete circulatory arrest under deep hypothermia for intraoperative and postoperative pain control. We administered intrathecal morphine to two male patients undergoing circulatory arrest and deep hypothermia. Patients were fully hepar...
متن کاملRetrograde cerebral perfusion with hypothermic circulatory arrest in aortic arch surgery: operative and long-term results.
METHODS Clinical data were retrospectively collected for 207 consecutive patients who underwent aortic arch surgery using continuous retrograde cerebral perfusion (CRCP) and hypothermic circulatory arrest (HCA) at Tenri Hospital (138 patients) from 1988 to 1999, and at Nagoya University Hospital (69 patients) from 1990 to 2000. One hundred and 3 patients (50%) were operated upon for aortic diss...
متن کاملEvolving knowledge about age and hypothermic circulatory arrest in aortic surgery.
In ascending aortic surgery, progress in surgical and perfusion technology is continuous and quiet and does not produce frequent reports of short-term success. Changes in strategy show their effects years after their implementation, and may then be recommended to the broad community to adapt therapeutic strategy and thus to improve overall outcome. An example is the report by the Berne group1 i...
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...
متن کاملThe History of Deep Hypothermic Circulatory Arrest in Thoracic Aortic Surgery.
Depending on the extent of aortic disease and surgical repair required, thoracic aortic surgery often involves periods of reduced cerebral perfusion. Historically, this resulted in detrimental neurological dysfunction, and high risk of mortality and morbidity. Over the last half century, rapid improvements have revolutionized aortic surgery. Among these, deep hypothermic circulatory arrest (DHC...
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ژورنال
عنوان ژورنال: Scandinavian Journal of Clinical and Laboratory Investigation
سال: 2020
ISSN: 0036-5513,1502-7686
DOI: 10.1080/00365513.2020.1824297