Deep hypothermic circulatory arrest - anesthetic considerations

ABSTRACT

Deep hypothermic circulatory arrest [DHCA] is the best technique that provides the optimal and bloodless operating conditions as well as brain protection. Although hypothermia is the mainstay of cerebral protection, some pharmacological agents, adequate glucose control, appropriate acid-base management and some surgical techniques that provide selective cerebral perfusion, also help in protecting the brain better and for longer periods of time