Cardioplegia | 合法醫療器材資訊網

由GDBuckberg著作·2016·被引用22次—Twogoalsofacardiacsurgicalprocedurearetechnicalexcellenceandprotectionofcardiacfunction.Cardioplegiaisused,almostuniversally,to ...

Two goals of a cardiac surgical procedure are technical excellence and protection of cardiac function. Cardioplegia is used, almost universally, to provide the quiet bloodless field that is critical for surgical precision. Stepwise methodological strategies are used to correct anatomic defects. Their technical success is gauged by return to normal structure (i.e. open arteries, competent valves, corrected congenital abnormalities). Protection method safety is determined by the absence of detectable muscular damage (poor contraction) and avoidance of increased cardiac biomarker enzymes.

Simplification of myocardial protection has always been a goal. To achieve this, single brief cold cardioplegia infusions during 60–90 min or longer aortic clamping durations were described by Bretschneider et al. [1] and more recently by Del Nido [2]. This sing...