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

Homework, why do ecological models commonly have limited applications?

why do ecological models commonly have limited applications?

Phylums, characteristics of the Nematoda

characteristics of the Nematoda

Explain the crestal bone levels, Explain the Crestal Bone Levels Cresta...

Explain the Crestal Bone Levels Crestal Bone Levels: Bone levels should be assessed on the mesial and distal surfaces of implants.  Any changes between visits should be documen

Stems transport liquids, Stems transport liquids (a)  Cut about 2 cm fr...

Stems transport liquids (a)  Cut about 2 cm from the end of stems of celery and place them in cold water for about an hour to freshen. Next place the stems in dishes having red

Define burette - nutritional biochemistry, Define Burette - Nutritional Bio...

Define Burette - Nutritional Biochemistry A burette is a vertical cylindrical piece of laboratory glassware with a volumetric graduation on its full length and a precision tap,

What is the significance of rhynchocoel, What is the significance of Rhynch...

What is the significance of Rhynchocoel? The unique body cavity of the Nemertean worms, which comprise the retractable proboscis. There is some debate on whether this is a true

What is radiographic template, What is Radiographic Template Radiograp...

What is Radiographic Template Radiographic Template : You should always use it while taking a panoramic radiograph of the patient. It is done to counter the effect of magnific

Carbohydrate requirement during congestive cardiac failure, Q. Carbohydrate...

Q. Carbohydrate requirement during congestive cardiac failure? While the quantity of carbohydrate remains almost the same as per the RDI i. e, 60% of the total energy, the qual

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