Machin David, Tams Gemma, Bingham Helen, Abid Qamar, Adem Ahmed
J Extra Corpor Technol. 2013 Dec;45(4):254-8.
This article describes an adaptable technique of full-body perfusion during complex aortic surgery, which was performed on six consecutive patients, at a nasopharyngeal temperature of 28-34 degrees C for a mean duration of 5 hours. A modified perfusion system was used to provide upper and lower body perfusion through axillary and femoral artery cannulation. The option of selective antegrade cerebral perfusion was also available if required. A simple custom-made circuit and application of additional monitoring such as cerebral oximetry makes this technique a safe and flexible method of providing continuous whole-body perfusion at moderate hypothermia and above. We found that these patients all had no major coagulopathies after the procedure and demonstrated no observable neurological, renal, or gastrointestinal dysfunction on recovery.
本文描述了一种在复杂主动脉手术期间进行全身灌注的适应性技术，该技术连续应用于6例患者，鼻咽温度为28 - 34摄氏度，平均持续时间为5小时。采用改良的灌注系统，通过腋动脉和股动脉插管实现上半身和下半身灌注。如有需要，还可选择选择性顺行性脑灌注。一个简单的定制回路以及应用额外的监测手段如脑血氧饱和度监测，使该技术成为在中度低温及以上提供持续全身灌注的安全且灵活的方法。我们发现这些患者术后均无严重凝血障碍，恢复过程中未出现明显的神经、肾脏或胃肠道功能障碍。
