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.
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?
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.
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.
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?
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.
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.
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.
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.
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.
J Thorac Cardiovasc Surg. 1993 Jul;106(1):19-28; discussion 28-31.
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