Gaseous microemboli in cardiac surgery with cardiopulmonary bypass: the use of veno-arterial shunt as a preventive method

Gaseous microemboli in cardiac surgery with cardiopulmonary bypass: the use of veno-arterial shunt as a preventive method
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DOI:
10.5935/1678-9741.20120073
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发表时间:
2012-07-01
影响因子:
--
通讯作者:
Lanaro Justo, Caio Cesar
Lanaro Justo, Caio Cesar
中科院分区:
医学4区
文献类型:
--
作者:
dos Reis, Edison Emidio;de Menezes, Livia Dutra;Lanaro Justo, Caio Cesar

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神经系统并发症是心脏手术术后发病的重要原因,其发生率可达75%。这些事件的一个重要原因是在体外循环期间在血液中形成微泡。对体外循环中的气体微栓子进行了综合评价。这项研究分析了不同方法的研究,但都解决了这个问题。结果表明,高氧溶微泡和静脉动脉分流对血液的脱氮作用可以平衡高氧引起的呼吸参数变化。
Neurological complications are an important cause of morbidity in the postoperative period of cardiac surgery and its incidence reaches up to 75% of patients. An important cause of these events is the formation of microbubbles in the bloodstream during cardiopulmonary bypass. Integrative review was carried out on gaseous microemboli in cardiopulmonary bypass. This study analyzed studies with different methodological approaches, but that address the issue. The result suggests the denitrogenation of blood by hyperoxia dissolved microbubbles in the blood and venoarterial shunt can balance the respiratory parameters changed with hyperoxia.