We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
USE OF DEEP HYPOTHERMIC CIRCULATORY ARREST FOLLOWING VENTRICULAR LACERATION: A CASE REPORT.
- Authors
Spain, Ken
- Abstract
Deep hypothermic circulatory arrest (DHCA) is usually a planned approach to certain types of cardiovascular surgery. This case report is an example of DHCA used to provide cerebral protection for a patient whose right ventricle was lacerated by an oscillating saw during stemotomy. The surgical case was a redo coronary artery bypass graft surgery. Anesthetics intervention with specific drug administration and steps taken for neutroprotection are discussed. Before DHCA, anesthetic interventions are used to reduce brain metabolism and, thus, oxygen consumption for the 30-to 60-minute window of complete circulatory arrest. Although not having an electroencephalographic monitor for the case, an interesting finding was that the bispectral monitor (or BIS monitor) was at the zero level for the entire circulatory arrest and about 30 minutes after rewarming.
- Subjects
CARDIOVASCULAR diseases; CORONARY artery bypass; MYOCARDIAL revascularization; OXYGEN; MYOCARDIAL infarction; HEART
- Publication
AANA Journal, 2004, Vol 72, Issue 3, p193
- ISSN
0094-6354
- Publication type
Article