Erdoes Gabor, Kadner Alexander, Hutter Damian, Eberle Balthasar
From the *Departments of Anesthesiology and Pain Therapy, †Cardiovascular Surgery, and ‡Cardiology, Inselspital, University Hospital Bern, Bern, Switzerland.
A A Case Rep. 2015 Jan 1;4(1):5-7. doi: 10.1213/XAA.0000000000000108.
We report the intraoperative courses of 2 consecutive Berlin Heart Excor® Pediatric Ventricular Assist Device implantations, in which transcranial Doppler ultrasonography helped to detect macroscopically undetected residual air bubbles captured in the pump after air removal had been correctly performed according to manufacturer's specifications. Our experience with these cases suggests that a beat-to beat deairing maneuver guided by transcranial Doppler is a useful strategy for reducing cerebral exposure to perioperative gaseous microembolism.
我们报告了2例连续的柏林心脏Excor®小儿心室辅助装置植入手术过程，其中经颅多普勒超声检查有助于检测在按照制造商规格正确排气后泵内肉眼未检测到的残留气泡。我们对这些病例的经验表明，经颅多普勒引导下的逐搏排气操作是减少围手术期气态微栓塞对脑暴露影响的有用策略。
