Sufficiency Of Brain Cooling Before Circulatory Arrest During Aortic Arch Surgery A Combined Assessment
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Sufficiency Of Brain Cooling Before Circulatory Arrest During Aortic Arch Surgery A Combined Assessment
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Author : Yergali Miyerbekov
language : en
Publisher:
Release Date : 2017
Sufficiency Of Brain Cooling Before Circulatory Arrest During Aortic Arch Surgery A Combined Assessment written by Yergali Miyerbekov and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background. Monitoring of temperature and EEG are routine approach to assess the brain coolingsufficiency in pts undergoing aortic arch surgery. The jugular bulb fibreoptic oxymetry is valuablemethod to evaluate of brain oxygenation and metabolism (1,2).The aim of study was to determinate efficiency of hypothermic brain protection in pts underwent aorticarch surgery.Methods. After local Ethic Committee approval and informed consent 35 pts 13-69 yo (44.9u00b110.1) wereoperated on aortic arch with deep hypothermic circulatory arrest (HCA). To determinate sufficiency ofbrain cooling in pts we used monitoring of temperatures (nasal+rectal) and EEG.We studied EEG, PO2, PCO2, SO2, glucose (Glu) level in arterial and jugular bulb blood. Arteriovenousoxygen and carbon dioxide difference (a-jbO2, jb-aCO2), oxygen extraction and arteriovenous glucosedifference (a-jbGlu) were assessed.Results. Duration of HCA was 48.6u00b112.8 min. Deep depression of EEG and Tnasal 13.5u00b10.5 and Trectal15.0u00b10.6 Cu00b0 were achieved before HCA.SjbO2 curve characterized by gradual rising during cooling and u00abplateauu00bb, reaching arterial oxygenationlevel (98.4u00b10.4%).Correlation of EEG activity and SbjO2 with core temperatures was found.a-jbGlu decreased 4 fold before HCA.We observed most high values of u0420jbu041e2 and Sjbu041e2 (201.8u00b154.5 mmHg and 98.4u00b10.4% respectively),PaO2 and SaO2 were 410.2u00b184.8 mmHg and 99% respectively before HCA.Early postoperative mortality was 28.6%. None of lethality related to brain injury.Discussion.Brain protection with hypothermia in pts aims to reduce oxygen demand and suppress its metabolism.The brain oxygenation and metabolism monitoring should be used to estimate adequacy of itsprotection with cooling during deep HCA.We suggest as additional metabolic criteria of brain cooling sufficiency before HCA:1. SjbO2 curve with gradual increasing and u00abplateauu00bb reaching during HCA (fibreoptic oxymetry);2. Equalization of SbjO2 with SaO2;3. Significant reducing of oxygen and glucose extraction by brain.The problem is not highlighted enough yet and needs further research.
Core Topics In Cardiac Anesthesia
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Author : Jonathan H. Mackay
language : en
Publisher: Cambridge University Press
Release Date : 2012-03-15
Core Topics In Cardiac Anesthesia written by Jonathan H. Mackay and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-15 with Medical categories.
Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.
Aortic Arch Surgery
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Author : Joseph S. Coselli
language : en
Publisher: John Wiley & Sons
Release Date : 2009-01-26
Aortic Arch Surgery written by Joseph S. Coselli and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-01-26 with Medical categories.
Focusing exclusively on the surgical management of aortic arch disease in adults, this concise reference provides authoritative guidance on both standard and alternative approaches from internationally recognized experts. Topics include: general principles of aortic diseases imaging techniques intraoperative management neurologic protection strategies options for aortic repair surgical treatment of specific problems complications Abundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies. With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.
Essential Clinical Anesthesia
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Author : Charles Vacanti
language : en
Publisher: Cambridge University Press
Release Date : 2011-07-11
Essential Clinical Anesthesia written by Charles Vacanti and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-11 with Medical categories.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Surgical Management Of Aortic Pathology
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Author : Olaf H. Stanger
language : en
Publisher: Springer
Release Date : 2019-04-15
Surgical Management Of Aortic Pathology written by Olaf H. Stanger and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-15 with Medical categories.
This book follows the concept of perceiving the entire aorta as one functional organ assuming that all individual pathologies and local interventional procedures affect the up- and downstream segments with consequences for complications and disease progression. Thus any preventive or surgical strategy must recognize the aortic disease in its entirety. The book intends to cover the full spectrum of aortic pathologies, mechanisms and functional interplay. The latest available diagnostic tools and options for surgical treatment are presented by the foremost experts in their field in state-of-the-art reviews. The reader is provided with the most current and comprehensive insight into all fundamental and clinical aspects of aortic disease. All chapters are carefully complemented with figures and illustrations.
Aortopathy
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Author : Koichiro Niwa
language : en
Publisher: Springer
Release Date : 2017-02-09
Aortopathy written by Koichiro Niwa and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-09 with Medical categories.
This is the first textbook to focus on Aortopathy, a new clinical concept for a form of vasculopathy. The first section of the book starts from discussing general concept and history of Aortopathy, and then deals with its pathophysiology, manifestation, intrinsic factor, clinical implication, management and prevention. The second part closely looks at various disorders of the Aortopathy such as bicuspid aortic valve and coarctation of aorta. The book editors have published a lot of works on the topic and have been collecting relating data in the field of congenital heart disease for the past 20 years, thus present the book with confidence. The topic - an association of aortic pathophysiological abnormality, aortic dilation and aorto-left ventricular interaction - is getting more and more attention among cardiovascular physicians. This is the first book to refer for cardiologists, pediatric cardiologists, surgeons, ACHD specialists, etc. to acquire thorough knowledge on Aortopathy.
Cardiopulmonary Bypass
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Author : Sunit Ghosh
language : en
Publisher: Cambridge University Press
Release Date : 2015-11-26
Cardiopulmonary Bypass written by Sunit Ghosh and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-11-26 with Medical categories.
A complete clinically orientated guide to cardiopulmonary bypass and extracorporeal support for trainee medical and technical personnel in cardiac surgery.
Essentials Of Anesthesia For Infants And Neonates
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Author : Mary Ellen McCann
language : en
Publisher: Cambridge University Press
Release Date : 2018-02-22
Essentials Of Anesthesia For Infants And Neonates written by Mary Ellen McCann and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02-22 with Medical categories.
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
Core Topics In Cardiothoracic Critical Care
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Author : Kamen Valchanov
language : en
Publisher:
Release Date : 2018-07-05
Core Topics In Cardiothoracic Critical Care written by Kamen Valchanov and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-05 with Medical categories.
A fully updated new edition designed specifically for those working within the high-pressure environment of cardiothoracic intensive care.
Stewart S Textbook Of Acid Base
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Author : John A Kellum
language : en
Publisher: Lulu.com
Release Date : 2009
Stewart S Textbook Of Acid Base written by John A Kellum and has been published by Lulu.com this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Science categories.
Rev. ed of: How to understand acid-base. c1981.