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Before cardiac arrest, the body is in a state of homeostasis. Arterial blood circulates appropriately through the body, supplying oxygen to tissues while the venous blood collects metabolic waste products to be utilized elsewhere and/or eliminated from the body. However, during cardiac arrest, the body is in circulatory and pulmonary arrest ...
It is employed as another means to further lower myocardial metabolism during periods of ischemia. The Van 't Hoff equation allows calculation that oxygen consumption will drop by 50% for every 10 °C reduction in temperature. This Q 10 effect combined with a chemical cardiac arrest can reduce myocardial oxygen consumption (MVO 2) by 97%. [7]
Postperfusion syndrome, also known as "pumphead", is a constellation of neurocognitive impairments attributed to cardiopulmonary bypass (CPB) during cardiac surgery. Symptoms of postperfusion syndrome are subtle and include defects associated with attention, concentration, short-term memory, fine motor function, and speed of mental and motor ...
Fellows are trained to provide perioperative anesthetic management for patients with severe cardiopulmonary pathology. Some of the cardiac surgeries they train for include the following: coronary artery bypass surgery (CABG) both on cardiopulmonary bypass as well as on a beating heart, heart valve surgery, aortic reconstruction requiring deep hypothermic arrest, mechanical ventricular assist ...
Treatment considerations for myocardial stunning should be determined based on the clinical judgment of the cardiologist or physician, the degree of LV impairment and symptoms, and the wishes of the person. [6] Some evidence supports the use of inotropic drugs in the case of severe myocardial dysfunction. [8]
Cardiac arrest; Other names: Sudden cardiac death (SCD), cardiopulmonary arrest, circulatory arrest, sudden cardiac arrest (SCA) [1] CPR being administered during a simulation of cardiac arrest: Specialty: Cardiology, emergency medicine: Symptoms: Decreased level or total loss of consciousness, abnormal or no breathing, no pulse [1] [2 ...
Asystole (New Latin, from Greek privative a "not, without" + systolē "contraction" [1] [2]) is the absence of ventricular contractions in the context of a lethal heart arrhythmia (in contrast to an induced asystole on a cooled patient on a heart-lung machine and general anesthesia during surgery necessitating stopping the heart).
With the advent of these strategies, cardiac arrest came to be called clinical death rather than simply death, to reflect the possibility of post-arrest resuscitation. At the onset of clinical death, consciousness is lost within several seconds, and in dogs, measurable brain activity has been measured to stop within 20 to 40 seconds. [2]