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ObjectivePrevious studies describe a high incidence of acute kidney injury after open thoracic aortic surgery. Findings may be confounded by patient selection, including surgery with deep hypothermic circulatory arrest only or emergency procedures.
Lars Englberger, , Thoralf M Sundt
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Impact of deep hypothermic circulatory arrest on the BIS index
Journal of Clinical Anesthesia, 2010To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS).Prospective cohort study.Operating room of university teaching hospital.30 adult, ASA physical status III and IV patients scheduled for cardiac surgery with extracorporeal circulation (ECC) and DHCA.There were no study ...
Stephan, Ziegeler +4 more
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Deep hypothermic circulatory arrest for treatment of renal carcinoma
Journal of Clinical Anesthesia, 2009The case of a 67-year-old woman with multiple medical problems who presented for resection of a metastatic renal cell carcinoma involving the posterior fossa, is presented. Anesthetic management of the patient, who suffered metastasis to the brain, and who required deep hypothermic circulatory arrest, is discussed.
Reza, Gorji +3 more
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Successful use of deep hypothermic circulatory arrest in pregnancy
The Annals of Thoracic Surgery, 1994A woman pregnant for 21 weeks underwent an emergency operation because of an aortic arch aneurysm that had ruptured into her left lung. Cardiopulmonary bypass and deep hypothermia were used and she needed 37 minutes of circulatory arrest at a core temperature of 19 degrees C.
E, Buffolo +6 more
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Deep hypothermic circulatory arrest: Alternative strategies for cerebral perfusion. A review article
Deep hypothermic circulatory arrest is an essential tool in the surgeon’s armamentarium. There are essentially three strategies to address cerebral ischemia during arrest periods.
Fraser D Rubens
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Deep Hypothermic Circulatory Arrest in a Patient With Osteogenesis Imperfecta
Journal of Cardiothoracic and Vascular Anesthesia, 2007h STEOGENESIS IMPERFECTA (OI) is an inherited disease of the connective tissue.1-4 Because the incidence of I in the general population is low, the literature on manageent of patients undergoing cardiac surgery and particularly eep hypothermic circulatory arrest (DHCA) is scarce.
Andrej, Alfirevic, Steven, Insler
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Charles Drew and the Origins of Deep Hypothermic Circulatory Arrest
The Annals of Thoracic Surgery, 1997Convinced that the high risk of operation using the early heart-lung machines was due to a toxic effect of the oxygenators in use in the 1950s, Charles Drew of Westminster Hospital in London devised a circulatory support system in which the patient's own lungs functioned as the oxygenator.
A R, Dobell, J S, Bailey
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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 outcomes
Heather, Reed +2 more
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Deep Hypothermic Circulatory Arrest for a Patient With Known Cold Agglutinins
The Annals of Thoracic Surgery, 2009We report a case study of a patient with renal cell carcinoma with tumor extension into the right atrium. This case was complicated by the diagnosis of cold agglutinins and the need for deep hypothermic circulatory arrest. A collaborative approach yielded a positive outcome.
Sharon A, Pecsi +2 more
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Neurologic Sequelae Associated With Deep Hypothermic Circulatory Arrest
The Annals of Thoracic Surgery, 1998Earlier studies of the incidence of neurologic disturbances after deep hypothermic circulatory arrest produced conflicting results. This article reviews the results of the Boston Circulatory Arrest Study, and another study undertaken to compare neurologic outcome in infants after deep hypothermic circulatory arrest using alpha-stat and pH-stat ...
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