Neuroprotective Anesthesia Regimen and Intensive Management for Pediatric Cardiac Surgery with Cardiopulmonary Bypass: a Review and Initial Experience

被引:8
作者
Klamt, Jyrson Guilherme [1 ]
de Andrade Vicente, Walter Villela [1 ]
Garcia, Luis Vicente [1 ]
Carmona, Fabio [1 ]
Abrao, Joao [1 ]
Menardi, Antonio Carlos [1 ]
Manso, Paulo Henrique [1 ]
机构
[1] Univ Sao Paulo, Fac Med Ribeirao Preto, Hosp Clin, Ribeirao Preto, SP, Brazil
关键词
Pediatrics; Cardiac Surgical Procedures; Neuroprotection; Cardiopulmonary Bypass; NEAR-INFRARED SPECTROSCOPY; OPEN-HEART-SURGERY; NEURODEVELOPMENTAL OUTCOMES; OXYGEN-SATURATION; CEREBRAL-ISCHEMIA; DEVELOPING BRAIN; DEXMEDETOMIDINE; LIDOCAINE; INJURY; CHILDREN;
D O I
10.21470/1678-9741-2016-0064
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This article describes our proposal for routine anesthesia, intraoperative medical management, cerebral and physiological monitoring during pediatric cardiac surgery with cardiopulmonary bypass that intend to provide appropriate anesthesia (analgesia, hypnosis), neuroprotection, adequate cerebral and systemic oxygen supply, and preventing against drugs neurotoxicity. A concise retrospective data is presented.
引用
收藏
页码:523 / 529
页数:7
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[1]   Comparison of regional transcranial oximetry with near infrared spectroscopy (NIRS) and jugular venous bulb oxygen saturation for the monitoring of cerebral oxygenation in infants and children [J].
Abdul-Khaliq, H ;
Troitzsch, D ;
Berger, F ;
Lange, PE .
BIOMEDIZINISCHE TECHNIK, 2000, 45 (11) :328-332
[2]   The association between brain injury, perioperative anesthetic exposure, and 12-month neurodevelopmental outcomes after neonatal cardiac surgery: a retrospective cohort study [J].
Andropoulos, Dean B. ;
Ahmad, Hasan B. ;
Haq, Taha ;
Brady, Ken ;
Stayer, Stephen A. ;
Meador, Marcie R. ;
Hunter, Jill V. ;
Rivera, Carlos ;
Voigt, Robert G. ;
Turcich, Marie ;
He, Cathy Q. ;
Shekerdemian, Lara S. ;
Dickerson, Heather A. ;
Fraser, Charles D. ;
McKenzie, E. Dean ;
Heinle, Jeffrey S. ;
Easley, R. Blaine .
PEDIATRIC ANESTHESIA, 2014, 24 (03) :266-274
[3]   Erythropoietin neuroprotection in neonatal cardiac surgery: A phase I/II safety and efficacy trial [J].
Andropoulos, Dean B. ;
Brady, Ken ;
Easley, Ronald B. ;
Dickerson, Heather A. ;
Voigt, Robert G. ;
Shekerdemian, Lara S. ;
Meador, Marcie R. ;
Eisenman, Carol A. ;
Hunter, Jill V. ;
Turcich, Marie ;
Rivera, Carlos ;
McKenzie, Emmett D. ;
Heinle, Jeffrey S. ;
Fraser, Charles D., Jr. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2013, 146 (01) :124-131
[4]   Neuroprotection in pediatric cardiac surgery: What is on the horizon? [J].
Andropoulos, Dean B. ;
Brady, Kenneth M. ;
Easley, R. Blaine ;
Fraser, Charles D., Jr. .
PROGRESS IN PEDIATRIC CARDIOLOGY, 2010, 29 (02) :112-121
[5]   Electroencephalographic Seizures After Neonatal Cardiac Surgery with High-Flow Cardiopulmonary Bypass [J].
Andropoulos, Dean B. ;
Mizrahi, Eli M. ;
Hrachovy, Richard A. ;
Stayer, Stephen A. ;
Stark, Ann R. ;
Heinle, Jeffrey S. ;
McKenzie, Emmitt D. ;
Dickerson, Heather A. ;
Meador, Marcie R. ;
Fraser, Charles D., Jr. .
ANESTHESIA AND ANALGESIA, 2010, 110 (06) :1680-1685
[6]   Benefit of neurophysiologic monitoring for pediatric cardiac surgery [J].
Austin, EH ;
Edmonds, HL ;
Auden, SM ;
Seremet, V ;
Niznik, G ;
Sehic, A ;
Sowell, MK ;
Cheppo, CD ;
Corlett, KM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1997, 114 (05) :707-715
[7]  
Bakan M, 2015, REV BRAS ANESTESIOL, V65, P191, DOI [10.1016/j.bjan.2014.05.006, 10.1016/j.bjane.2014.05.001]
[8]   Pharmacological perioperative brain neuroprotection: a qualitative review of randomized clinical trials [J].
Bilotta, F. ;
Gelb, A. W. ;
Stazi, E. ;
Titi, L. ;
Paoloni, F. P. ;
Rosa, G. .
BRITISH JOURNAL OF ANAESTHESIA, 2013, 110 :113-120
[9]   Safety of magnesium-lidocaine combination for severe head injury: The Turin lidomag pilot study [J].
Canavero, S ;
Bonicalzi, V ;
Narcisi, P ;
Seyfried, DM .
SURGICAL NEUROLOGY, 2003, 60 (02) :165-169
[10]   Perioperative Use of Dexmedetomidine Is Associated With Decreased Incidence of Ventricular and Supraventricular Tachyarrhythmias After Congenital Cardiac Operations [J].
Chrysostomou, Constantinos ;
Sanchez-de-Toledo, Joan ;
Wearden, Peter ;
Jooste, Edmund H. ;
Lichtenstein, Steven E. ;
Callahan, Patrick M. ;
Suresh, Tunga ;
O'Malley, Elizabeth ;
Shiderly, Dana ;
Haney, Jamie ;
Yoshida, Masahiro ;
Orr, Richard ;
Munoz, Ricardo ;
Morell, Victor O. .
ANNALS OF THORACIC SURGERY, 2011, 92 (03) :964-972