Epicardial damage induced by topical cooling during paediatric cardiac surgery.
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چکیده
منابع مشابه
Topical amiodarone during cardiac surgery: Does epicardial application of amiodarone prevent postoperative atrial fibrillation?
OBJECTIVES Atrial fibrillation (AF) is a common complication after cardiac surgery. Topical amiodarone on the epicardium may help prevent postoperative AF while avoiding the side effects of its systemic administration. The purpose of this study was to evaluate the all-comer strategy of epicardial amiodarone application for the prevention of postoperative AF. METHODS A retrospective observatio...
متن کاملEtiology and prevention of topical cardiac hypothermia-induced phrenic nerve injury and left lower lobe atelectasis during cardiac surgery.
Left hemidiaphragm elevation is frequently noted following cardiac surgery employing topical hypothermia. We speculate that contact of the left phrenic nerve with ice causes nerve injury, resulting in left hemidiaphragm paresis or paralysis and left lower lobe atelectasis. Left diaphragm elevation was noted on postoperative chest x-ray examination of 36 of 60 (60 percent) consecutive patients i...
متن کاملCharacteristics , incidence , and pathomechanisms of neurological damage during cardiac surgery
Modern-day cardiac surgery, made possible by the advent of cardiopulmonary bypass (CPB) almost six decades ago, continues to be challenged by the risk of neurologic injury. While catastrophic injury was common in the early days of CPB, advances in perfusion, anesthetic and surgical techniques now allow the vast majority of patients to undergo surgery without major morbidity or mortality. Howeve...
متن کاملA simple cooling circuit for topical cardiac hypothermia.
Rapid uniform cooling of the heart is the most important requirement of any method using local hypothermia for protection of the myocardium during open intracardiac surgery. We report the construction and operation of a recirculation cooling circuit comprising a reservoir, pump, and heat-exchanger for this purpose. It is operated by the perfusionist and can deliver up to 1 litre of fluid per mi...
متن کاملVulnerability of paediatric myocardium to cardiac surgery.
OBJECTIVE Myocardial injury is an important cause of mortality and morbidity after paediatric cardiac surgery. Data obtained from studies in animals imply that juvenile myocardium is more resistant to the effects of ischaemia and reperfusion than adult myocardium but there is little confirmatory evidence in the clinical setting. DESIGN Prospective observational study of biochemical markers of...
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ژورنال
عنوان ژورنال: Heart
سال: 1992
ISSN: 1355-6037
DOI: 10.1136/hrt.67.2.174