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.
Article
in Ko
| WPRIM
| ID: wpr-203259
Responsible library:
WPRO
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Sensation
/
Thoracic Surgery
/
Brain
/
Glasgow Coma Scale
/
Consciousness
/
Endarterectomy
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Circulatory Arrest, Deep Hypothermia Induced
Limits:
Adult
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Humans
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Infant
/
Newborn
Language:
Ko
Journal:
Korean Journal of Anesthesiology
Year:
2002
Document type:
Article