Highly Effective Frontal Stunning Procedure Using a Pneumatic Penetrating Captive Bolt in Water Buffaloes.

An effective frontal stunning procedure in water buffaloes was assessed using a pneumatic penetrating captive bolt (PPCB) with high air pressure. The study contemplated two phases; first, 352 buffaloes and 168 post-mortem heads were evaluated to determine the most effective anatomical site for stunning. Then, the second phase (n = 182) was used to validate the stunning procedure at the discovered anatomical site in the first phase, which was located 8 cm dorsal above the middle of the forehead on an "X" formed between the eyes and the base of the contralateral horns, and 2 cm lateral, avoiding the midline, where the skull tended to narrow. A total of 95.1% of buffaloes received effective stunning at the first shot with evidence of the presence of collapse, absence of rhythmic breathing, and absence of ocular reflexes (corneal and palpebral). There were no differences in the stunning efficacy by sex, breed, or skull thickness. These findings demonstrated that stunning with a PPCB at pressures of 1379-1516.8 KPa (200-220 pounds per square inch (psi)) in the site reported here produces a highly effective stunning at the first shot in water buffaloes.

Influence of harvest method on proximate composition, texture profile and protein oxidation of beef from grain-fed Nellore cattle

The influence of harvest method on proximate composition, protein oxidation, and texture profile of beef from Nellore cattle were investigated. Longissimus lumborum (LL) muscles were obtained from twelve grain-fed Nellore carcasses. The animals were slaughtered after stunning (STU; n=6) or without stunning (WST; n=6) and after 24 hours postmortem, the LL was sliced into 2.54-cm steaks, packed under aerobic conditions, and stored at 4°C for nine days. Proximate composition was analyzed on day 0, whereas protein oxidation (carbonyl content) and texture profile (hardness, chewiness, cohesiveness, and springiness) were evaluated on days 0, 3, 6, and 9. STU and WST steaks exhibited similar proximate composition, hardness, and chewiness (p > 0.05). WST steaks exhibited greater protein oxidation and lower cohesiveness than their STU counterparts on day 0 (p < 0.05). Concerning the storage period, WST steaks demonstrated a decrease in springiness and a more pronounced increase in cohesiveness than their STU counterparts (p < 0.05). These results indicated that the harvest method influenced LL protein oxidation and texture profile from Bos indicus cattle.(AU)

Reperfusion Strategies in Acute Myocardial Infarction: State of the Art

Abstract ST elevation myocardial infarction (STEMI) is a highly prevalent condition worldwide. Reperfusion therapy is strongly associated with the prognosis of STEMI and must be performed with a high standard of quality and without delay. A systematic review of different reperfusion strategies for STEMI was conducted, including randomized controlled trials that included major cardiovascular events (MACE), and systematic reviews in the last 5 years through the PRISMA ( Preferred Reporting Items for Systematic Reviews and Meta-Analysis) methodology. The research was done in the PubMed and Cochrane Central Register of Controlled Trials databases, in addition to a few manual searches. After the exclusion criteria were applied, 90 articles were selected for this review. Despite the reestablishment of IRA patency in PCI for STEMI, microvascular lesions occur in a significant proportion of these patients, which can compromise ventricular function and clinical course. Several therapeutic strategies - intracoronary administration of nicorandil, nitrates, melatonin, antioxidant drugs (quercetin, glutathione), anti-inflammatory substances (tocilizumab [an inhibitor of interleukin 6], inclacumab, P-selectin inhibitor), immunosuppressants (cyclosporine), erythropoietin and ischemic pre- and post-conditioning and stem cell therapy - have been tested to reduce reperfusion injury, ventricular remodeling and serious cardiovascular events, with heterogeneous results: These therapies need confirmation in larger studies to be implemented in clinical practice

Quality of Death in Fighting Bulls during Bullfights: Neurobiology and Physiological Responses.

During bullfights, bulls undergo physiometabolic responses such as glycolysis, anaerobic reactions, cellular oedema, splenic contraction, and hypovolemic shock. The objective of this review article is to present the current knowledge on the factors that cause stress in fighting bulls during bullfights, including their dying process, by discussing the neurobiology and their physiological responses. The literature shows that biochemical imbalances occur during bullfights, including hypercalcaemia, hypermagnesaemia, hyperphosphataemia, hyperlactataemia, and hyperglycaemia, associated with increased endogenous cortisol and catecholamine levels. Creatine kinase, citrate synthase, and lactate dehydrogenase levels also increase, coupled with decreases in pH, blood bicarbonate levels, excess base, partial oxygen pressure, and oxygen saturation. The intense exercise also causes a marked decrease of glycogen in type I and II muscle fibres that can produce myoglobinuria and muscular necrosis. Other observations suggest the presence of osteochondrosis. The existing information allows us to conclude that during bullfights, bulls face energy and metabolic demands due to the high intensity and duration of the exercise performed, together with muscular injuries, physiological changes, and high enzyme concentrations. In addition, the final stage of the bullfight causes a slow dying process for an animal that is sentient and conscious of its surroundings.

Welfare in Nile Tilapia Production: Dorsal Fin Erection as a Visual Indicator for Insensibility.

In aquaculture, to ensure animal welfare in pre-slaughter and slaughter stages, it is fundamental that fish are insensible. A method for evaluating fish insensibility is based on visual sensibility indicators (VSI) assessment (i.e., self-initiated behavior, responses to stimuli and reflexes). However, many stimuli used to assess fish responses are painful. Therefore, this study verifies whether the presence/absence of a dorsal fin erection (DFE) response can be used as a painless VSI in Nile tilapia (Oreochromis niloticus). Three stunning protocols were applied to fish: benzocaine anesthesia (40 mg/L and 80 mg/L), ice water immersion (0-1, 2-3 and 5-6 °C) and CO2 stunning. After these stunning methods were applied in fish, the time of loss and return of DFE was observed, along with the vestibulo-ocular reflex (VOR). All fish stunned using benzocaine and ice water immersion lose both VSIs, while 95% of fish stunned using CO2 lose these VSIs. In all treatments, DFEs return quicker than VOR. Therefore, DFE can be used as a VSI in Nile tilapia, which is simple for producers to assess and does not require a painful stimulus. However, the DFE alone does not totally ensure fish insensibility and must be used together with other well-established VSIs at fish farms.

Pain at the Slaughterhouse in Ruminants with a Focus on the Neurobiology of Sensitisation.

We pose, based on a neurobiological examination, that events that occur around the time of slaughter have the potential to intensify the pain response, through the processes of sensitisation and enhanced transmission. Sensitisation, or an enhanced response to painful stimuli, is a well-discussed phenomenon in the human medical literature, which can arise from previous injury to an area, inflammatory reactions, or previous overstimulation of the stress axes. A number of events that occur prior to arrival at, or in the slaughterhouse, may lead to presence of these factors. This includes previous on-farm pathology, injuries arising from transport and handling and lack of habituation to humans. Whilst there is limited evidence of a direct effect of these on the processes of sensitisation in animals at slaughter, by analogy with the human neurobiology literature the connection seems plausible. In this review a neurobiological approach is taken to discuss this hypothesis in the light of basic science, and extrapolations from existing literature on the slaughter of ruminants. To confirm the postulated link between events at slaughter, and processes of hypersensitisation, further dedicated study is required.

Quality of death in the river buffalo (Bubalus bubalis)

Results on appropriate, inappropriate, and painful slaughtering methods of river buffalo (Bubalus bubalis) are discussed. Undesirable consequences of poor desensitization and/or slaughtering procedures, causing pain and suffering to animals, are also approached. These considerations are relevant as unsuitable methods can reduce consumer acceptance and commercial value of the meat obtained from animals undergoing deficient slaughtering procedures due to a lack of concern regarding their welfare. Relevant databases –Scopus, Science Direct, and PubMedwere searched for this review, including keywords such as pain, slaughter, stunning, Bubalus bubalis, and animal welfare. A detailed description of river buffalo's encephalic anatomy was compared to cattle concerning correct stunning and slaughter methods. The neurobiological processes of pain felt by animals when inadequately desensitized was also examined. Finally, recent findings on stunning methods for buffaloes were discussed, including encephalography. It was concluded that different animal species may require different stunning methods; at the same time, the optimal anatomical site also varies between species. Therefore, it is of the utmost importance to train the personnel performing these procedures (transport, stunning, slaughtering) to avoid mishandling that jeopardizes animal welfare by generating stimuli that trigger neurophysiological responses and, in turn, translate into pain during slaughter and reduced meat quality.(AU)

Quality of death in the river buffalo (Bubalus bubalis)

Results on appropriate, inappropriate, and painful slaughtering methods of river buffalo (Bubalus bubalis) are discussed. Undesirable consequences of poor desensitization and/or slaughtering procedures, causing pain and suffering to animals, are also approached. These considerations are relevant as unsuitable methods can reduce consumer acceptance and commercial value of the meat obtained from animals undergoing deficient slaughtering procedures due to a lack of concern regarding their welfare. Relevant databases –Scopus, Science Direct, and PubMedwere searched for this review, including keywords such as pain, slaughter, stunning, Bubalus bubalis, and animal welfare. A detailed description of river buffalo's encephalic anatomy was compared to cattle concerning correct stunning and slaughter methods. The neurobiological processes of pain felt by animals when inadequately desensitized was also examined. Finally, recent findings on stunning methods for buffaloes were discussed, including encephalography. It was concluded that different animal species may require different stunning methods; at the same time, the optimal anatomical site also varies between species. Therefore, it is of the utmost importance to train the personnel performing these procedures (transport, stunning, slaughtering) to avoid mishandling that jeopardizes animal welfare by generating stimuli that trigger neurophysiological responses and, in turn, translate into pain during slaughter and reduced meat quality.(AU)

Quality of death in the river buffalo (Bubalus bubalis)

Results on appropriate, inappropriate, and painful slaughtering methods of river buffalo (Bubalus bubalis) are discussed. Undesirable consequences of poor desensitization and/or slaughtering procedures, causing pain and suffering to animals, are also approached. These considerations are relevant as unsuitable methods can reduce consumer acceptance and commercial value of the meat obtained from animals undergoing deficient slaughtering procedures due to a lack of concern regarding their welfare. Relevant databases –Scopus, Science Direct, and PubMed– were searched for this review, including keywords such as pain, slaughter, stunning, Bubalus bubalis, and animal welfare. A detailed description of river buffalo's encephalic anatomy was compared to cattle concerning correct stunning and slaughter methods. The neurobiological processes of pain felt by animals when inadequately desensitized was also examined. Finally, recent findings on stunning methods for buffaloes were discussed, including encephalography. It was concluded that different animal species may require different stunning methods; at the same time, the optimal anatomical site also varies between species. Therefore, it is of the utmost importance to train the personnel performing these procedures (transport, stunning, slaughtering) to avoid mishandling that jeopardizes animal welfare by generating stimuli that trigger neurophysiological responses and, in turn, translate into pain during slaughter and reduced meat quality.

Animal welfare evaluation at slaughterhouses for pigs at the "Eje Cafetero" region in Colombia.

Within the insensitization by electronarcosis and the bleeding processes performed at the pig's slaughterhouses, there are some factors that hinder the achievement of an adequate slaughter of these animals, being this a critical phase in which animal welfare must be guaranteed; the objective of this study was to evaluate and compare the efficiency of insensitization by electronarcosis and two types of bleeding direction (horizontal and vertical). Dependent variables were measured as indicators of animal welfare (absence of the corneal reflex, absence of reflex of sensitivity to painful stimuli, attempts to reinstatement or posture recovery and vocalization), after the stunning and bleeding process, in four slaughterhouses of national category in "Eje Cafetero", Colombia. The methodological approach included the binomial distribution, descriptive statistics, hypothesis testing and statistical significance. The results show that the efficiency of the insensitization procedures and type of bleeding direction depends on multiple aspects, including the tranquility of the animals during their handling, the correct position of the insensitization clamps, the amperage used and the time between insensitization and bleeding. In this way, the analysis of possible preventive and/or corrective measures includes: Continuous training and supervision of the personnel in charge of carrying out the procedures, the need to immobilize pigs prior to their insensitization process, the continuous monitoring of process variables and the appropriate vascular cutting that ensures animal's death prior to their entrance into the scalding machine.

Comparação entre abate halal e convencional de bovinos em uma visão islâmica e zootécnica / Comparison between halal and conventional cattle slaughter in an islamic and zootechnical view

Dentre os sistemas de abate de bovinos, o sistema halal é aquele aceito pela comunidade muçulmana, espalhada em diversos países, representando milhões de pessoas. O sistema convencional, como entendido nessa pesquisa, é aquele que envolve os aspectos de bem estar animal. A hipótese desta pesquisa teve por base a posição de que o abate halal constitui-se em uma prática superior ao abate convencional. O que significaria, caso se confirmasse essa "superioridade", que ele seria mais humanizado e eficiente. A pesquisa principal foi classificada como qualitativa, e se desenvolveu entre abril de 2020 e fevereiro de 2021. Como resultado encontrou-se a visão de que o abate bovino compreende apenas as etapas de insensibilização e sangria (ou degola), limitando a análise na comparação entre o abate convencional e halal. Concluiu-se, assim, que o abate é um processo longo que se inicia no embarque do animal na fazenda, portanto, faz-se necessário estudos mais amplos e aprofundados com análises dos indicadores etológicos e bioquímicos de estresse animal nas etapas do abate neste explanados, para a produção de uma opinião mais segura e precisa quanto a qual forma de abate, halal ou convencional, é menos estressante para bovinos.

Among the cattle meat production systems, the halal system is the one accepted by the Muslim community spread in several countries, representing millions of people. The conventional system, as understood in this research, is one that involves zootechnical aspects, in short, productive efficiency. The hypothesis of this research was based on the position that halal slaughter constitutes a superior practice to conventional slaughter. What would it mean, if this "superiority" of halal slaughter over conventional slaughter was confirmed, that it is more humanized and efficient. The main research was classified as qualitative, and it developed between april 2020 and february 2021. As a result, it was found that the view of being bovine slaughter only the stages of stunning and bleeding (or sticking) limits the analysis in the comparison between conventional and halal slaughter. It was concluded, therefore, that the slaughter is a long process that begins with the loading of the animal on the farm, therefore, it is necessary broader and deeper studies with analyzes of the ethological and biochemical indicators of animal stress in the stages of slaughter here explaned, to produce a safer and more precise opinion as to which form of slaughter, halal or conventional, is less stressful for cattle.

Electrical stunning in South American catfish (Rhamdia quelen) using direct current waveform: welfare and meat quality / Insensibilização elétrica em Jundiá (Rhamdia quelen) usando corrente direta: bem-estar e qualidade da carne

In Brazil, humane slaughter regulation is in use since 2000; however it is not applied to fish. This paper studied parameters for electrical stunning using direct current waveform in South American catfish (Rhamdia quelen) and its subsequent effects on muscular pH and rigor mortis. Seventy fish were allocated into two groups. In group 125, fish were stunned using 125 Volts (V), 30 Hz, duty cycle of 90% and 1.3 Amp (A) applied for 30 s; in group 400, fish were stunned with 400 V, 30 Hz, duty cycle of 27%, 0.9 A, for 30 s. Unconsciousness time was determined through behavioural assessment. After slaughter, ten fish from each group were refrigerated for both measurements muscular pH and rigor mortis index (RMI) at 0, 3, 6, 24, 72 and 120 h. In 125, 14.4% (5/35) of fish were not effectively stunned, in contrast with 400 in which 100% of fish (35/35) were effectively stunned. The unconsciousness duration was higher in 400 group (87.7±16.1 s) in contrast with group 125 (66.6 ± 16.1 s). Until 6 h post mortem ninety percent of fish reached maximum rigor mortis (RMI=100%).(AU)

No Brasil, a normativa de abate humanitário está em vigência desde 2000, no entanto tal norma não contempla peixes. O objetivo deste trabalho foi estudar os parâmetros para insensibilização elétrica em Jundiá (Rhamdia quelen) e seus efeitos sobre o pH muscular e o rigor mortis. Setenta peixes foram alocados em dois grupos. No grupo 125, os peixes foram insensibilizados usando 125 Volts (V), 30 Hz, duty cycle of 90% e 1.3 Amp (A) durante 30 s; no grupo 400, os peixes foram insensibilizados com 400 V, 30 Hz, duty cycle of 27%, 0.9 A, durante 30 s. O tempo de inconsciência foi determinado por avaliação comportamental. Após o abate, 10 peixes de cada grupo foram refrigerados para mensurações de pH muscular e o índice rigor mortis (RMI) às 0, 3, 6, 24, 72 e 120 h. No grupo 125, 14.4% (5/35) dos peixes não foram efetivamente insensibilizados, em contraste com o grupo 400, em que 100% dos peixes (35/35) foram efetivamente insensibilizados. A duração da inconsciência foi significativamente maior no tratamento 400, igual a 87.7 ± 16.1 s em relação aos 66.6 ± 16.1 s no 125. Noventa por cento dos peixes atingiram o máximo rigor mortis (RMI=100%) dentro das 6 h pós-abate. A insensibilização elétrica em Jundiá parece ser possível usando parâmetros do grupo 400, devido à duração de inconsciência maior que 60 s.(AU)

Electrical stunning in South American catfish (Rhamdia quelen) using direct current waveform: welfare and meat quality / Insensibilização elétrica em Jundiá (Rhamdia quelen) usando corrente direta: bem-estar e qualidade da carne

ABSTRACT: In Brazil, humane slaughter regulation is in use since 2000; however it is not applied to fish. This paper studied parameters for electrical stunning using direct current waveform in South American catfish (Rhamdia quelen) and its subsequent effects on muscular pH and rigor mortis. Seventy fish were allocated into two groups. In group 125, fish were stunned using 125 Volts (V), 30 Hz, duty cycle of 90% and 1.3 Amp (A) applied for 30 s; in group 400, fish were stunned with 400 V, 30 Hz, duty cycle of 27%, 0.9 A, for 30 s. Unconsciousness time was determined through behavioural assessment. After slaughter, ten fish from each group were refrigerated for both measurements muscular pH and rigor mortis index (RMI) at 0, 3, 6, 24, 72 and 120 h. In 125, 14.4% (5/35) of fish were not effectively stunned, in contrast with 400 in which 100% of fish (35/35) were effectively stunned. The unconsciousness duration was higher in 400 group (87.7±16.1 s) in contrast with group 125 (66.6 ± 16.1 s). Until 6 h post mortem ninety percent of fish reached maximum rigor mortis (RMI=100%).

RESUMO: No Brasil, a normativa de abate humanitário está em vigência desde 2000, no entanto tal norma não contempla peixes. O objetivo deste trabalho foi estudar os parâmetros para insensibilização elétrica em Jundiá (Rhamdia quelen) e seus efeitos sobre o pH muscular e o rigor mortis. Setenta peixes foram alocados em dois grupos. No grupo 125, os peixes foram insensibilizados usando 125 Volts (V), 30 Hz, duty cycle of 90% e 1.3 Amp (A) durante 30 s; no grupo 400, os peixes foram insensibilizados com 400 V, 30 Hz, duty cycle of 27%, 0.9 A, durante 30 s. O tempo de inconsciência foi determinado por avaliação comportamental. Após o abate, 10 peixes de cada grupo foram refrigerados para mensurações de pH muscular e o índice rigor mortis (RMI) às 0, 3, 6, 24, 72 e 120 h. No grupo 125, 14.4% (5/35) dos peixes não foram efetivamente insensibilizados, em contraste com o grupo 400, em que 100% dos peixes (35/35) foram efetivamente insensibilizados. A duração da inconsciência foi significativamente maior no tratamento 400, igual a 87.7 ± 16.1 s em relação aos 66.6 ± 16.1 s no 125. Noventa por cento dos peixes atingiram o máximo rigor mortis (RMI=100%) dentro das 6 h pós-abate. A insensibilização elétrica em Jundiá parece ser possível usando parâmetros do grupo 400, devido à duração de inconsciência maior que 60 s.

Electrical stunning in South American catfish (Rhamdia quelen) using direct current waveform: welfare and meat quality / Insensibilização elétrica em Jundiá (Rhamdia quelen) usando corrente direta: bem-estar e qualidade da carne

In Brazil, humane slaughter regulation is in use since 2000; however it is not applied to fish. This paper studied parameters for electrical stunning using direct current waveform in South American catfish (Rhamdia quelen) and its subsequent effects on muscular pH and rigor mortis. Seventy fish were allocated into two groups. In group 125, fish were stunned using 125 Volts (V), 30 Hz, duty cycle of 90% and 1.3 Amp (A) applied for 30 s; in group 400, fish were stunned with 400 V, 30 Hz, duty cycle of 27%, 0.9 A, for 30 s. Unconsciousness time was determined through behavioural assessment. After slaughter, ten fish from each group were refrigerated for both measurements muscular pH and rigor mortis index (RMI) at 0, 3, 6, 24, 72 and 120 h. In 125, 14.4% (5/35) of fish were not effectively stunned, in contrast with 400 in which 100% of fish (35/35) were effectively stunned. The unconsciousness duration was higher in 400 group (87.7±16.1 s) in contrast with group 125 (66.6 ± 16.1 s). Until 6 h post mortem ninety percent of fish reached maximum rigor mortis (RMI=100%).

No Brasil, a normativa de abate humanitário está em vigência desde 2000, no entanto tal norma não contempla peixes. O objetivo deste trabalho foi estudar os parâmetros para insensibilização elétrica em Jundiá (Rhamdia quelen) e seus efeitos sobre o pH muscular e o rigor mortis. Setenta peixes foram alocados em dois grupos. No grupo 125, os peixes foram insensibilizados usando 125 Volts (V), 30 Hz, duty cycle of 90% e 1.3 Amp (A) durante 30 s; no grupo 400, os peixes foram insensibilizados com 400 V, 30 Hz, duty cycle of 27%, 0.9 A, durante 30 s. O tempo de inconsciência foi determinado por avaliação comportamental. Após o abate, 10 peixes de cada grupo foram refrigerados para mensurações de pH muscular e o índice rigor mortis (RMI) às 0, 3, 6, 24, 72 e 120 h. No grupo 125, 14.4% (5/35) dos peixes não foram efetivamente insensibilizados, em contraste com o grupo 400, em que 100% dos peixes (35/35) foram efetivamente insensibilizados. A duração da inconsciência foi significativamente maior no tratamento 400, igual a 87.7 ± 16.1 s em relação aos 66.6 ± 16.1 s no 125. Noventa por cento dos peixes atingiram o máximo rigor mortis (RMI=100%) dentro das 6 h pós-abate. A insensibilização elétrica em Jundiá parece ser possível usando parâmetros do grupo 400, devido à duração de inconsciência maior que 60 s.

Abate halal com e sem insensibilização em ovinos: implicações sobre o bem-estar animal e a eficiência da sangria / [Halal slaughter with and without stunning in sheep: implications on animal welfare and bleeding efficiency]

O objetivo deste estudo foi avaliar as implicações sobre o bem-estar animal e a eficiência da sangria no abate halal com e sem insensibilização em ovinos. Foram avaliados 102 ovinos, em abate comercial, separados randomicamente pelo peso em dois grupos: com insensibilização (CI) e sem insensibilização (SI). Verificou-se que os animais sem insensibilização apresentaram sinais de endireitamento e vocalização após 20 segundos da degola. Houve diferença significativa para hemácias (P<0,01), hemoglobina (P<0,01), leucócitos totais (P<0,001), bem como para os biomarcadores de estresse, como CK (P<0,01) e lactato (P<0,001). Apesar de não apresentarem diferença estatística significativa, o LDH e o cortisol ficaram acima dos valores basais em ambos os grupos. Não foram observadas alterações séricas para glicose e AST. Houve diferença estatística significativa para eficiência da sangria (P<0,01). Os resultados demonstraram que houve estresse no abate halal com e sem insensibilização e melhor eficiência da sangria em animais não insensibilizados.(AU)

The objective of this study was to evaluate the implications on animal welfare and the sangria efficiency in halal slaugther with and without stunning in sheep. 102 sheep were appraised in a commercial slaugthter, divided randomly for the weight in two groups: with stunning (CI) and without stunning (SI). It was verified that the animals without stunning presented straighten signs and vocalization after 20 seconds of decapitation. There was significant difference for erythrocytes (P<0.05), hemoglobin (P<0.01), leucocytes (P<0.01), stress of biomarkers CK (P<0.01) and lactate (P<0.01). Alterations in serum were not observed for glucose and AST. There was significant statistical difference for bleeding efficiency (P<0.01). The results demonstrated that there was stress in the halal slaugther with and without stunning and better bleeding efficiency in animals with traditional religious slaughter without stunning.(AU)

Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass.

Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperative anesthesia and surgical management of pulmonary endarterectomy which was successfully managed without Cardiopulmonary Bypass.

Anesthesia management for a patient undergoing pulmonary endarterctomy without cardiopulmonary bypass

Abstract Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperative anesthesia and surgical management of pulmonary endarterectomy which was successfully managed without Cardiopulmonary Bypass.