AW: AW: [HSF] It´s the cord, ...Clinton says

[Dr. Roberto Battellini]

What I tried to say was that, Prasanna, the cord, that ist he question .
Hamlet
-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von prasannasimha
Gesendet: Dienstag, 31. Oktober 2006 13:47
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: AW: [HSF] porcellan aorta

My main concern with this trend to "normothermic" brain surgery is that 
we are not protecting the cord. This can lead to unacceptable paraplegia 
if lower body perfusion is interrupted. This may not be so much of a 
concern if lower body perfusion is maintained.
TCA at 18 deg - 45 min
TCA at 28 Deg 15 min
TCA at 32 Deg - 7 min are probably estimates of TCA with negligible 
complications. Beyond this there will be a progressive increase in 
complications.

Prasanna

Dr. Roberto Battellini wrote:
> No, no data. I confess I am still very conservative, remember the people
of
> Mount Sinai doing it at 18 grades! Remember the book of Edmunds in
ctesnet.
> So for me, 20 Degrees Oesophagus was courageous.But the patient is now at
> normal station!.
>
> You opened a very nice question for the HSF, let´s do together.
> At which oesophagus-rectal, etc temperature do the members  make total
> circulatory arrest without any complication!!!(including paraplegia) , and
> how long is it sure.
>
> Roberto
>
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Giulio
Rizzoli
> Gesendet: Montag, 30. Oktober 2006 09:11
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] porcellan aorta
>
> Beautiful picture !  Why 20° temperature ?
> At 27° you can arrest the brain circulation 
> safely for 10 m'. Plenty of time to cannulate the 
> left carotid artery , occlude the left subclavian 
> e completely rperfuse the brain.
> I think the question is : How long will  normal 
> kidney and liver tolerate ischemia at 27° ? Do You have data on it?
>                                                  Giulio Rizzoli
>
>
>
>   
>>  We cannulated the axillary artery and went to 20 degrees oesophagus. .
>> Roberto and Giuseppe, Leipzig
>>
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>
> Giulio Rizzoli MD FETCS
> Cardiochirurgia Padova
> tel. 049 821-2408
> fax 049 821-2409
> e-mail giulio.rizzoli at unipd.it
>
>
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