Hypothermia-open heart surgery, Biology

Assignment Help:

Hypothermia :  Hypothermia reduces the metabolic requirements of the body thereby reducing oxygen consumption. It also preserves high-energy phosphate stores of the body. At normal temperature, if there is circulatory arrest for three minutes, brain suffers hypoxic damage. At 30°C, this period extends up to 10 minutes. If the temperature is brought down to l8°C, this period extends up to 45 minutes. .In 1953, John Lewis used surface hypothermia up to 280C and by inflow occlusion method closed atrial septa1 defect while the heart was arrested for 5.5 minutes. Japanese surgeons started surface cooling followed by short period of core cooling to achieve deep hypothermia (l8°C) to have circulatory arrest to correct complicated intra cardiac lesions in babies. Surface cooling being a cumbersome procedure, these days both cooling and re warming are done on tile pump. In this technique of deep hypothermia and circulatory arrest (DHCA), it is safe if the period of arrest is 30 minutes or less. Between 30 minutes and 45 minutes, it is relatively safe. Above one hour, brain damage is likely to occur. In adults, the same technique is used for aortic arch aneurysms and pulmonary thrombo-endarterectomy. At the time of circulatory arrest, retrograde cerebral perfusion with cold perfusate through superior vena cava (cerebroplegia) is practised.

 


Related Discussions:- Hypothermia-open heart surgery

Define future projections in the field of public nutrition, Define Future P...

Define Future Projections in the Field of Public Nutrition? We discussed earlier that the field of public nutrition has existed for a long time, although not by this name. A he

Ultrasonic removal of gutta percha, Ultrasonic removal of Gutta percha: ...

Ultrasonic removal of Gutta percha: -the piezoelestic ultrasonic system. - As the instruments is energized; producing heat to themosoften gutta-percha. - Float gutta-perc

Purchasing of service, Normal 0 false false false EN-IN...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4

Define preoperative care prior to endodontic microsurgery, Define Preoperat...

Define Preoperative Care Prior to Endodontic Microsurgery a.Thorough medical history "consultation and permission from the physician is the patient has systemic disease(s) and

Explain phenylephine and methoxamine in amyl nitrite, Explain Phenylephine ...

Explain Phenylephine and Methoxamine in amyl nitrite ? They have opposing effects to amyl nitrite as they increase the systemic BP. phenylephine due to its shorter duration of

What are the etiological agents of malaria, What are the etiological agents...

What are the etiological agents of malaria? The etiological agents of malaria are protozoans of the genus Plasmodium. There are four dissimilar types of plasmodia that cause ma

What is microbodies , What is Microbodies ? Microbodies : Microbodi...

What is Microbodies ? Microbodies : Microbodies are formed by pinching off of vesicles from rough endoplasmic reticulum. They are not found in every cell, but are present a

Attributes of population, Attributes of Population The attributes of a ...

Attributes of Population The attributes of a population are of two basic types : i) Numerical attributes such as density, mortality (birth rate), mortality (death rate), disper

Explain types known in metabolic pathways, How many regulatory enzyme types...

How many regulatory enzyme types known in metabolic pathways, explain in detail by giving examples.

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd