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New diastolic cardiomyopathy in patients with severe accidental hypothermia after ECMO rewarming: a case-series observational study [PDF]
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Hemostatic activation during cardiopulmonary bypass with different aprotinin dosages in pediatric patients having cardiac operations [PDF]
Baranky, A. +7 more
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Establishment of Deep Hypothermic Circulatory Arrest in Rats
Journal of Visualized Experiments, 2022Deep hypothermic circulatory arrest (DHCA) is routinely applied during surgeries for complex congenital heart disease and aortic arch disease. The present study aims to provide a method for establishing DHCA in rats. To evaluate the impact of the DHCA process on vital signs, a normal temperature cardiopulmonary bypass (CPB) rat model without ...
Weidong, Yan, Bingyang, Ji
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Aprotinin in deep hypothermic circulatory arrest
The Annals of Thoracic Surgery, 1999Early experience with aprotinin in deep hypothermic circulatory arrest (DHCA) raised alarm about hazards associated with its use. Based on what little is known about possible mechanistic interactions between hypothermia, stasis, and aprotinin, there is no evidence that aprotinin becomes unusually hazardous in DHCA.
C R, Smith, T B, Spanier
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Perioperative Management of Deep Hypothermic Circulatory Arrest
Journal of Cardiothoracic and Vascular Anesthesia, 2010thermic component significantly decreases brain metabolism and oxygen requirements and thus permits a longer period of interrupted blood perfusion to the brain. The cerebral metabolic rate is related exponentially to brain (core body) temperature, with the cerebral metabolic rate decreasing by about 50% for each 6°C drop in brain temperature.6 ...
Marina, Svyatets +4 more
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Deep Hypothermic Circulatory Arrest Effectively Preserves Neurocognitive Function
The Annals of Thoracic Surgery, 2013Few (conflicting) studies have quantitatively assessed neurocognitive effects of deep hypothermic circulatory arrest (DHCA). We assess neurocognitive function quantitatively before and after DHCA in comparison with non-DHCA patients.Sixty-two aortic surgical patients underwent a battery of neuropsychometric tests, both preoperative and postoperative ...
Katherine H, Chau +3 more
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Deep Hypothermic Circulatory Arrest: Real-Life Suspended Animation
Progress in Cardiovascular Diseases, 2013Deep hypothermic circulatory arrest (DHCA) is a cerebral protection technique that was developed in the 1950s and popularized in the 1970s. It has become one of the three most common cerebral protection techniques currently used in aortic arch surgeries, with the other two being antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP).
Katherine H, Chau +2 more
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Aortic Valve Replacement Under Deep Hypothermic Circulatory Arrest
Journal of Cardiac Surgery, 2002Aortic valve replacement (AVR) in the presence of a calcified aorta or patent grafts may preclude clamping of the ascending aorta. We employed deep hypothermic circulatory arrest in order to circumvent this problem.Between January 1993 and December 2000, 415 patients underwent AVR in our department.
Shuli, Silberman +5 more
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Aortic Surgery and Deep-Hypothermic Circulatory Arrest
Seminars in Cardiothoracic and Vascular Anesthesia, 2014Aortic arch surgery has become increasingly complex, and novel surgical approaches have been utilized. Efforts aimed at improving neurological outcomes in this patient population have been numerous, with varying degrees of success. This article summarizes the anesthetic considerations for procedures on the aortic arch, including evidence-based ...
Heather, Reed +2 more
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