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本文引用的文献

1
Predictors of electrocerebral inactivity with deep hypothermia.深低温后脑电静止的预测因素。
J Thorac Cardiovasc Surg. 2014 Mar;147(3):1002-7. doi: 10.1016/j.jtcvs.2013.03.022. Epub 2013 Apr 11.
2
Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?主动脉手术中腋动脉插管与股动脉插管:是否有足够证据做出一般性推荐?
Ann Thorac Surg. 2007 Mar;83(3):1219-24. doi: 10.1016/j.athoracsur.2006.10.068.
3
The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis.中度低温下半身循环停止并选择性脑灌注的安全性:一项倾向评分分析。
J Thorac Cardiovasc Surg. 2007 Feb;133(2):501-9. doi: 10.1016/j.jtcvs.2006.09.045.
4
Axillary artery cannulation improves operative results for acute type a aortic dissection.腋动脉插管可改善急性A型主动脉夹层的手术效果。
Ann Thorac Surg. 2005 Jul;80(1):77-83. doi: 10.1016/j.athoracsur.2005.01.058.
5
Does the arterial cannulation site for circulatory arrest influence stroke risk?循环骤停时的动脉插管部位会影响中风风险吗?
Ann Thorac Surg. 2004 Oct;78(4):1274-84; discussion 1274-84. doi: 10.1016/j.athoracsur.2004.04.063.
6
Nonneurologic morbidity and profound hypothermia in aortic surgery.主动脉手术中的非神经系统并发症与深度低温
Ann Thorac Surg. 2004 Aug;78(2):596-601. doi: 10.1016/j.athoracsur.2004.01.012.
7
Cannulation of the axillary artery for cardiopulmonary bypass: safeguards and pitfalls.用于体外循环的腋动脉插管:保障措施与陷阱
Ann Thorac Surg. 2003 Mar;75(3):931-4. doi: 10.1016/s0003-4975(02)04497-1.
8
Deep hypothermic circulatory arrest: I. Effects of cooling on electroencephalogram and evoked potentials.深度低温循环停搏:I. 降温对脑电图和诱发电位的影响。
Ann Thorac Surg. 2001 Jan;71(1):14-21. doi: 10.1016/s0003-4975(00)01592-7.
9
Cerebral metabolic suppression during hypothermic circulatory arrest in humans.人类低温循环停搏期间的脑代谢抑制
Ann Thorac Surg. 1999 Jun;67(6):1895-9; discussion 1919-21. doi: 10.1016/s0003-4975(99)00441-5.
10
Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients.深度低温停循环。656例患者中风及早期死亡率的决定因素。
J Thorac Cardiovasc Surg. 1993 Jul;106(1):19-28; discussion 28-31.

主动脉弓手术中低温处理的共识。

Consensus on hypothermia in aortic arch surgery.

机构信息

The Collaborative Research (CORE) Group, Sydney, Australia; ; Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia;

出版信息

Ann Cardiothorac Surg. 2013 Mar;2(2):163-8. doi: 10.3978/j.issn.2225-319X.2013.03.03.

DOI:10.3978/j.issn.2225-319X.2013.03.03
PMID:23977577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3741830/
Abstract

Considered a standard part of aortic arch surgery, hypothermia can sufficiently reduce cerebral metabolic demand to permit reasonable periods of circulatory arrest. Yet despite its ubiquitous application and critical importance, temperature classification in hypothermic circulatory arrest is still without clear definition. The following Consensus from experts in high-volume aortic institutions defines 'profound', 'deep', 'moderate', and 'mild' hypothermia and recommends standardized monitoring sites, so as to facilitate more consistent reporting and robust analysis.

摘要

被认为是主动脉弓手术的标准部分,低温可以充分降低脑代谢需求,从而允许合理的循环停止时间。然而,尽管低温循环停止术被广泛应用且具有重要意义,但低温的温度分类仍没有明确的定义。本共识来自大容量主动脉机构的专家,定义了“深度”、“中度”和“轻度”低温,并建议使用标准化的监测部位,以便更一致地报告和进行稳健的分析。