Topical cardiac hypothermia for myocardial preservation
نویسندگان
چکیده
منابع مشابه
Bilateral diaphragmatic paralysis following topical cardiac hypothermia.
Topical cardiac hypothermia has been shown to be a safe and effective means of providing protection for the ischemic myocardium during aortic cross-clamping. We report herein two cases of postoperative bilateral diaphragmatic paralysis which we believe resulted from hypothermic injury to the phrenic nerves. After open-heart surgery, both patients experienced prolonged weaning from assisted vent...
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 کاملBilateral diaphragm paralysis after cardiac surgery with topical hypothermia.
Bilateral diaphragm paralysis is a rare but important complication of open heart surgery. Two cases were found among 360 prospectively studied patients undergoing open heart surgery during one year. Both patients had insulin dependent diabetes with peripheral neuropathy and this may have contributed to their diaphragm paralysis. The patients were studied postoperatively for one year with measur...
متن کاملTherapeutic Hypothermia for Cardiac Arrest
In the era before Therapeutic Hypothermia (TH) was recommended and used as a therapeutic modality for out-of-hospital cardiac arrest (OHCA) patients, reported data suggests in-hospital mortality exceeded 58%.[1,2,3,4,5,6] Mortality after a sudden and unexpected cardiac arrest (CA) is high, and the chance of survival to hospital discharge has, until recently, remained unchanged.[7] In one report...
متن کاملTherapeutic Hypothermia for Cardiac Arrest
Targeted temperature management is the key intervention for improving neurological outcomes after cardiac arrest. We discuss new data on the optimal timing and modalities of targeted temperature management. It took nearly half a century, from 1957 to 2002, for therapeutic hypothermia to acquire its current status as a key intervention for improving neurological outcomes in survivors of cardiac ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1977
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(19)41443-8