TY - JOUR
T1 - Deep hypothermia and circulatory arrest in adults
AU - Dorotta, Ihab
AU - Kimball-Jones, Penny
AU - Applegate, Richard
N1 - Brain protection during cardiopulmonary bypass has been the subject of intense research. Deep hypothermic circulatory arrest (DHCA) continues to be used for that goal during complex aortic arch and large intracranial aneurysm surgeries. The anesthetic management for adult patients undergoing these types of procedures requires specific knowledge and expertise.
PY - 2007/3
Y1 - 2007/3
N2 - Brain protection during cardiopulmonary bypass has been the subject of intense research. Deep hypothermic circulatory arrest (DHCA) continues to be used for that goal during complex aortic arch and large intracranial aneurysm surgeries. The anesthetic management for adult patients undergoing these types of procedures requires specific knowledge and expertise. Based on our experience and review of the current literature, the authors highlight the key areas of the anesthetic plan, discussing the risk factors associated with adverse neurologic outcome as well as the rationale for decisions regarding specific monitors and medications. In the conclusion an anesthetic protocol for adult patients undergoing DHCA is suggested. © 2007 Sage Publications.
AB - Brain protection during cardiopulmonary bypass has been the subject of intense research. Deep hypothermic circulatory arrest (DHCA) continues to be used for that goal during complex aortic arch and large intracranial aneurysm surgeries. The anesthetic management for adult patients undergoing these types of procedures requires specific knowledge and expertise. Based on our experience and review of the current literature, the authors highlight the key areas of the anesthetic plan, discussing the risk factors associated with adverse neurologic outcome as well as the rationale for decisions regarding specific monitors and medications. In the conclusion an anesthetic protocol for adult patients undergoing DHCA is suggested. © 2007 Sage Publications.
KW - Circulatory arrest
KW - Deep hypothermic circulatory arrest
KW - Hypothermia for brain protection
KW - Circulatory Arrest, Deep Hypothermia Induced/adverse effects
KW - Humans
KW - Adult
KW - Anesthesia
KW - Brain Ischemia/prevention & control
KW - Monitoring, Intraoperative
UR - http://www.scopus.com/inward/record.url?scp=33847101035&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847101035&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/4253fc26-424b-3a89-9761-e6ae6e048097/
U2 - 10.1177/1089253206297482
DO - 10.1177/1089253206297482
M3 - Review article
C2 - 17484175
SN - 1089-2532
VL - 11
SP - 66
EP - 76
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
IS - 1
ER -