近端主动脉修复术的麻醉管理
Anesthetic Management for Proximal Aortic Repair.
作者信息
Powell Thomas R, Shah Emily B, Khalifa Ali, Orozco-Sevilla Vicente, Tolpin Daniel A
机构信息
Division of Cardiovascular Anesthesiology, Department of Anesthesiology, Baylor College of Medicine, Houston, TX, USA.
The Texas Heart Institute, Houston, TX, USA.
出版信息
Semin Cardiothorac Vasc Anesth. 2025 Mar;29(1):8-36. doi: 10.1177/10892532251318061. Epub 2025 Feb 1.
Surgical repair of the proximal aorta is a complex endeavor, requiring cardiopulmonary bypass (CPB) and often the use of hypothermic circulatory arrest (HCA). In addition to the normal considerations for patients undergoing cardiopulmonary bypass, additional challenges include cerebral and end-organ protection during periods of circulatory arrest. This review aims to provide an up-to-date, evidence-based review on anesthetic management for proximal aortic repair.
近端主动脉的手术修复是一项复杂的工作，需要体外循环（CPB），并且常常要使用低温循环停搏（HCA）。除了对接受体外循环的患者的常规考量外，其他挑战还包括在循环停搏期间对大脑和终末器官的保护。本综述旨在提供关于近端主动脉修复麻醉管理的最新的、循证综述。
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