Bechtel Allison, Huffmyer Julie
Emory University, Atlanta, GA, USA.
University of Virginia, Charlottesville, VA, USA
Semin Cardiothorac Vasc Anesth. 2014 Jun;18(2):101-16. doi: 10.1177/1089253214529607. Epub 2014 Apr 10.
Cardiopulmonary bypass has revolutionized the practice of cardiac surgery and allows safe conduct of increasingly complex cardiac surgery. A brief review of the bypass circuit is undertaken in this review. A more thorough review of the anesthetic management is accomplished including choice of anesthetic medications and their effects. The inflammatory response to cardiopulmonary bypass is reviewed along with interventions that may help ameliorate the inflammation.
体外循环彻底改变了心脏手术的实践方式,并使得越来越复杂的心脏手术能够安全进行。本文对体外循环回路进行简要回顾。同时将对麻醉管理进行更全面的阐述,包括麻醉药物的选择及其作用。本文还将对体外循环引发的炎症反应以及可能有助于减轻炎症的干预措施进行综述。