WebOct 1, 2016 · 1. Introduction. DHCA is a technique used in the repair of complex congenital cardiac lesions that require aortic arch or pulmonary vein repair. Since the introduction … Deep hypothermic circulatory arrest (DHCA) is a surgical technique that induces deep medical hypothermia. It involves cooling the body to temperatures between 20 °C (68 °F) to 25 °C (77 °F), and stopping blood circulation and brain function for up to one hour. It is used when blood circulation to the brain must be stopped because of delicate surgery within the brain, or because of surgery on large blood vessels that lead to or from the brain. DHCA is used to provide a bette…
Circulatory Arrest Anesthesia Key
WebMar 13, 2024 · Circulatory arrest leads to absent brain blood flow which in turn leads rapidly to loss of brain function. Figure 2 illustrates models of circulatory arrest (abrupt no-flow such as ventricular fibrillation; hypoxic to no-flow such as withdrawal of mechanical ventilation in controlled DCD; constant low-flow such as CPR or shock states) ( 17 ). WebAfter the development of deep hypothermia and circulatory arrest for cardiothoracic procedures in the late 1950s, this technique was adopted by several neurosurgeons as an aid to complex cranial surgery. Woodhall and colleagues described its first use for a neurosurgical procedure in 1960 [10]. philipp hemmrich
Effects of deep hypothermic circulatory arrest on the blood brain ...
WebJul 1, 2009 · In a cardiac arrest, not only will the arterial line show no pulsatility, but also the central venous pressure (CVP) line, the pulse oximetry trace and the pulmonary artery (PA) pressure trace will be flat. An ECG trace looking like sinus rhythm in the absence of pulsatile traces from the other monitoring should be considered a cardiac arrest. WebObjectives: We evaluated the impact of aortic cross-clamping time (XCT) and cardiopulmonary bypass time (CPBT) on the immediate and late outcome after adult cardiac surgery and attempted to identify their safe time limits. Methods: This study includes 3280 patients who underwent adult cardiac surgery of various complexities. WebDeep Hypothermic Circulatory Arrest (DHCS) is a technique used mainly to facilitate complex aortic arch surgery. Deep hypothermia reduces cellular metabolism and … philipp herl