Hypothermic Circulatory Arrest in Adult Aortic Arch Surgery: A Review of Hypothermic Circulatory Arrest and its Anesthetic Implications

被引：5

作者：

Ghia, Samit ^{[1
]}

Savadjian, Andre ^{[2
]}

Shin, Dawi ^{[1
]}

Diluozzo, Gabriele ^{[3
]}

Weiner, Menachem M. ^{[1
,4
]}

Bhatt, Himani, V ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Anesthesiol Crit Care & Perioperat Med, New York, NY USA

[2] Duke Univ, Sch Med, Dept Anesthesiol & Crit Care, Durham, NC USA

[3] Yale Sch Med, Dept Cardiovasc Surg, Bridgeport, CT USA

[4] Mt Sinai Med Ctr, Dept Anesthesiol, Box 1010,One Gustave L Levy Pl, New York, NY 10029 USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2023年 / 37卷 / 12期

关键词：

deep hypothermic circulatory arrest; aortic surgery; RETROGRADE CEREBRAL PERFUSION; ACID-BASE MANAGEMENT; STANDARD MONITORING SITES; TRUE BRAIN TEMPERATURE; CARDIOPULMONARY BYPASS; BLOOD-FLOW; ALPHA-STAT; DEEP HYPOTHERMIA; PH-STAT; THERAPEUTIC HYPOTHERMIA;

D O I：

10.1053/j.jvca.2023.08.139

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Diseases affecting the aortic arch often require surgical intervention. Hypothermic circulatory arrest (HCA) enables a safe approach during open aortic arch surgeries. Additionally, HCA provides neuroprotection by reducing cerebral metabolism and oxygen requirements. However, HCA comes with significant risks (eg, neurologic dysfunction, stroke, and coagulopathy), and the cardiac anesthesiologist must completely understand the surgical techniques, possible complications, and management strategies. (c) 2023 Elsevier Inc. All rights reserved.

引用

页码：2634 / 2645

页数：12

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