scholarly journals Perioperative Organ Protection in Cardiac Surgery

10.5772/25737 ◽  
2012 ◽  
Author(s):  
Maria Carmona ◽  
Matheus Vane ◽  
Luiz Malbouisso
Keyword(s):  
Cardiac Surgery ◽  
Organ Protection

The role of remote ischemic preconditioning in organ protection after cardiac surgery: a meta-analysis

2014 ◽  
Vol 186 (1) ◽  
pp. 207-216 ◽  
Author(s):  
Nur A.B. Haji Mohd Yasin ◽  
Peter Herbison ◽  
Pankaj Saxena ◽  
Slavica Praporski ◽  
Igor E. Konstantinov
Keyword(s):  
Cardiac Surgery ◽  
Ischemic Preconditioning ◽  
Meta Analysis ◽  
Remote Ischemic Preconditioning ◽  
Organ Protection

scholarly journals Optimal carbon dioxide application for organ protection in cardiac surgery

2002 ◽  
Vol 124 (2) ◽  
pp. 387-391 ◽  
Author(s):  
S. Martens ◽  
M. Dietrich ◽  
M. Doss ◽  
G. Wimmer-Greinecker ◽  
A. Moritz
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Surgery ◽  
Organ Protection

scholarly journals Role of sevoflurane in organ protection during cardiac surgery in children: a randomized controlled trial

2014 ◽  
Vol 20 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Dominique A. Bettex ◽  
Patrick M. Wanner ◽  
Marco Bosshart ◽  
Christian Balmer ◽  
Walter Knirsch ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cardiac Surgery ◽  
Controlled Trial ◽  
Organ Protection ◽  
Randomized Controlled

scholarly journals The Role of Deep Hypothermia in Cardiac Surgery

2021 ◽  
Vol 18 (13) ◽  
pp. 7061
Author(s):  
Radosław Gocoł ◽  
Damian Hudziak ◽  
Jarosław Bis ◽  
Konrad Mendrala ◽  
Łukasz Morkisz ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Aortic Arch ◽  
Cerebral Oxygenation ◽  
Circulatory Arrest ◽  
Deep Hypothermia ◽  
Body Core Temperature ◽  
Congenital Defects ◽  
Acute Type ◽  
Organ Protection ◽  
Blood Temperature

Hypothermia is defined as a decrease in body core temperature to below 35°C. In cardiac surgery, four stages of hypothermia are distinguished: mild, moderate, deep, and profound. The organ protection offered by deep hypothermia (DH) enables safe circulatory arrest as a prerequisite to carrying out cardiac surgical intervention. In adult cardiac surgery, DH is mainly used in aortic arch surgery, surgical treatment of pulmonary embolism, and acute type-A aortic dissection interventions. In surgery treating congenital defects, DH is used to assist aortic arch reconstructions, hypoplastic left heart syndrome interventions, and for multi-stage treatment of infants with a single heart ventricle during the neonatal period. However, it should be noted that a safe duration of circulatory arrest in DH for the central nervous system is 30 to 40 min at most and should not be exceeded to prevent severe neurological adverse events. Personalized therapy for the patient and adequate blood temperature monitoring, glycemia, hematocrit, pH, and cerebral oxygenation is a prerequisite and indispensable part of DH.

A multidisciplinary perioperative strategy for attaining “more physiologic” cardiac surgery

Perfusion ◽  
2017 ◽  
Vol 32 (6) ◽  
pp. 446-453 ◽  
Author(s):  
Kyriakos Anastasiadis ◽  
Polychronis Antonitsis ◽  
Apostolos Deliopoulos ◽  
Helena Argiriadou
Keyword(s):  
Patient Outcome ◽  
Cardiac Output ◽  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Surgical Technique ◽  
Gold Standard ◽  
Continuous Monitoring ◽  
Circulatory Support ◽  
Significant Morbidity ◽  
Organ Protection

Background: Cardiac surgery is, by definition, a “non-physiologic” intervention associated with systemic adverse effects. Despite advances in surgical technique, cardiopulmonary bypass (CPB) technology as well as anaesthesia management and patient care, there is still significant morbidity and subsequent mortality. Aim: We consider that the contemporary demand for further improving patient outcome mandates the upgrade from optimal perfusion during the procedure as the gold standard to the concept of a “more physiologic” cardiac surgery. Our policy is a multidisciplinary perioperative strategy based on goal-directed perfusion throughout surgery incorporating in-line monitoring. This translates to “prevent rather than correct” malperfusion through real-time adjustment rather than correction of derangement detected late by incremental evaluation. Method: The strategy is based on continuous monitoring of cardiac index, SvO2, DO2i, DO2i/VCO2i and rSO2. Data acquisition is followed by action when needed; this includes stepwise: transfusion, increase of cardiac output and initiation of inotropic/vasoactive support. Moreover, implementation of minimally invasive extracorporeal circulation (MiECC) is considered as a fundamental component of physiologic perfusion when on-CPB, providing improved circulatory support and end-organ protection. Conclusion: We consider that, with this strategy which establishes optimal perfusion perioperatively, we attain the goal of a “more physiologic” cardiac surgery.

Blood-volume studies in cardiac-surgery patients

JAMA ◽  
1966 ◽  
Vol 195 (5) ◽  
pp. 356-361 ◽  
Author(s):  
J. B. McClenahan
Keyword(s):  
Cardiac Surgery ◽  
Blood Volume
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