Key result
A review of current literature and clinical experience suggests a specific anesthetic protocol for adult patients undergoing deep hypothermic circulatory arrest to mitigate adverse neurologic outcomes.
This review provides an anesthetic protocol and highlights key areas of anesthetic management for adult patients undergoing deep hypothermic circulatory arrest.
Brain protection during cardiopulmonary bypass has been the subject of intense research. Deep hypothermic circulatory arrest (DHCA) continues to be used for that goal during complex aortic arch and large intracranial aneurysm surgeries. The anesthetic management for adult patients undergoing these types of procedures requires specific knowledge and expertise. Based on our experience and review of the current literature, the authors highlight the key areas of the anesthetic plan, discussing the risk factors associated with adverse neurologic outcome as well as the rationale for decisions regarding specific monitors and medications. In the conclusion an anesthetic protocol for adult patients undergoing DHCA is suggested.
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Dorotta et al. (2007) conducted a review in Complex aortic arch and large intracranial aneurysm surgeries requiring deep hypothermic circulatory arrest. Deep hypothermic circulatory arrest (DHCA) and anesthetic management was evaluated. A review of current literature and clinical experience suggests a specific anesthetic protocol for adult patients undergoing deep hypothermic circulatory arrest to mitigate adverse neurologic outcomes.
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