Technic of deep hypothermia and circulatory arrest in the neonate and infant.

Abstract:

:Most congenital heart anomalies now can be surgically corrected in a neonate or very young infant. Because their hearts are so small, it is advantageous to work in a bloodless and motionless operative field. Deep hypothermia with circulatory arrest provides this setting. Physiologic problems associated with hypothermia are minimized by inducing general vasodilatation with large doses of methylprednisolone. Surface cooling is done with ice blankets and small sandwich bags filled with crushed ice. The patient's temperature gradually falls to 75.2 F (24 C). After median sternotomy, core cooling can be used to bring the patient's temperature to the desired 68 F (20 C). Circulatory arrest is produced by draining blood into the reservoir and cross-clamping the great vessels and venae cavae. It can be maintained for up to 60 minutes. In infants over six months and over 6 kg (13.2 lb), moderate hypothermia 77 F (25 C) and low perfusion (1/4-1/3 of normal) with short periods (10 to 15 minutes) of circulatory arrest improve operative conditions and allow correction of the most complicated congenital heart defects.

journal_name

South Med J

journal_title

Southern medical journal

authors

Ochsner JL,Lawson NW,Mills NL,King TD,Williams LC

doi

10.1097/00007611-197605000-00038

subject

Has Abstract

pub_date

1976-05-01 00:00:00

pages

607-10

issue

5

eissn

0038-4348

issn

1541-8243

journal_volume

69

pub_type

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