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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.

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。

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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.
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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.
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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.

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