Two or Three Times of Short Deep Hypothermic Circulatory Arrest (DHCA)within 20 Minutes, Total Not Exceeding 60 Minutes, Does Not Impair Brain Function in Adults / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 493-499, 2002.
Artículo
en Coreano
| WPRIM
| ID: wpr-203259
ABSTRACT
BACKGROUND:
Deep Hypothermic circulatory Arrest (DHCA) is widely used during heart surgery in neonates and infants and complicated surgeries in adults such as a pulmonary thromboendarterectomy (PTE). However safe limits of time and temperature during DHCA still remain controversial. Futhermore it's effects on neurologic outcome has been controversial.METHODS:
On the postoperative 3 days, we examined the neurologic function of 12 patients who received a PTE. During the PTE, DHCA was done 2 or 3 times within 20 minutes. Between DHCAs the patients were perfused at a low flow rate with 18degreesC blood until their venous saturation returned to 90%. Neurologic evaluations included level of consciousness, Glasgow coma scale (GCS), and motor and sensory functions.RESULTS:
Neurologic functions of all of the patients assessed on the 3 days postoperatively was grossly normal. All 12 patients were oriented to time, place, and person with normal gross motor and sensory functions.CONCLUSIONS:
No significant neurologic complications were related to the technique of two or three times of short DHCA within 20 minutes, for a total not exceeding 60 minutes.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Sensación
/
Cirugía Torácica
/
Encéfalo
/
Escala de Coma de Glasgow
/
Estado de Conciencia
/
Endarterectomía
/
Paro Circulatorio Inducido por Hipotermia Profunda
Límite:
Adulto
/
Humanos
/
Lactante
/
Recién Nacido
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2002
Tipo del documento:
Artículo
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