Deep Hypothermic Circulatory Arrest in Cardiovascular Surgery
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Questions and Answers

What type of aortic dissection may require femoral, innominate or right axillary arterial cannulation?

  • Degenerative aortic aneurysm
  • Chronic Type A
  • Acute Type A (correct)
  • Type B

What is one benefit of femora-femoral or axillo-femoral CPB?

  • Reducing the risk of atheroembolism
  • Increasing cerebral perfusion pressure
  • Restoring anterograde flow
  • Permitting systemic cooling prior to sternotomy (correct)

Why may cannulation of the mid or distal aortic arch be required?

  • To permit systemic cooling
  • To ensure adequate cerebral venous drainage
  • To reduce the risk of atheroembolism (correct)
  • To restore anterograde flow

What is necessary for retrograde cerebral perfusion (RCP) with reversal of blood flow in the superior vena cava?

<p>Bicaval cannulation (C)</p> Signup and view all the answers

What is the purpose of bicaval cannulation in anterograde cerebral perfusion?

<p>To ensure adequate cerebral venous drainage (A)</p> Signup and view all the answers

What is the potential consequence of inadequate cerebral venous drainage in anterograde cerebral perfusion?

<p>Cerebral edema (D)</p> Signup and view all the answers

What is the term for the technique of core cooling combined with cessation of blood flow?

<p>Deep hypothermic circulatory arrest (B)</p> Signup and view all the answers

What is the primary reason for using deep hypothermic circulatory arrest in certain surgeries?

<p>To provide a bloodless field for dissection (B)</p> Signup and view all the answers

What is the benefit of reducing the body temperature to 30°C during surgery?

<p>It increases the period of 'safe’ cerebral ischemia (B)</p> Signup and view all the answers

Who demonstrated that a reduction in body temperature to 30°C increased the period of 'safe’ cerebral ischemia?

<p>Bigelow (A)</p> Signup and view all the answers

What was used for surface cooling in early experiments?

<p>Cold rubber blankets (D)</p> Signup and view all the answers

What is the term for the temporary stopping of the heart during surgery?

<p>Cardioplegia (B)</p> Signup and view all the answers

What type of pump is preferred in DHCA to reduce damage to cellular components and hemolysis?

<p>Centrifugal pump (A)</p> Signup and view all the answers

What is the primary purpose of incorporating a hemofilter in the extracorporeal circuit during DHCA?

<p>To permit hemoconcentration during rewarming (C)</p> Signup and view all the answers

Why is a cardiotomy reservoir of sufficient capacity selected in DHCA?

<p>To accommodate the circulating volume during exsanguination (A)</p> Signup and view all the answers

What is the approximate energy required to warm a 70-kg adult from 20°C to 37°C?

<p>4.2 MJ (1000 kcal) (A)</p> Signup and view all the answers

Why is consideration given to the use of heparin-bonded circuits in DHCA?

<p>In cases requiring prolonged CPB (D)</p> Signup and view all the answers

What is the average specific heat capacity of human tissue?

<p>3.5 kJ kg⁻¹ °C⁻¹ (0.83 kcal kg⁻¹ °C⁻¹) (D)</p> Signup and view all the answers

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