Deep hypothermia and circulatory arrest in adults

Ihab Dorotta, Penny Kimball-Jones, Richard Lee Applegate

Research output: Contribution to journalReview article

18 Scopus citations

Abstract

Brain protection during cardiopulmonary bypass has been the subject of intense research. Deep hypothermic circulatory arrest (DHCA) continues to be used for that goal during complex aortic arch and large intracranial aneurysm surgeries. The anesthetic management for adult patients undergoing these types of procedures requires specific knowledge and expertise. Based on our experience and review of the current literature, the authors highlight the key areas of the anesthetic plan, discussing the risk factors associated with adverse neurologic outcome as well as the rationale for decisions regarding specific monitors and medications. In the conclusion an anesthetic protocol for adult patients undergoing DHCA is suggested.

Original languageEnglish (US)
Pages (from-to)66-76
Number of pages11
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume11
Issue number1
DOIs
StatePublished - Mar 2007
Externally publishedYes

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Keywords

  • Circulatory arrest
  • Deep hypothermic circulatory arrest
  • Hypothermia for brain protection

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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