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Brain Injury and Protection During Heart Surgery

  • Mark Hilberman

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Kevin J. Fish
    Pages 67-83
  3. Nancy A. Nussmeier, John P. McDermott
    Pages 85-107
  4. G. Bashein, Stephen W. Bledsoe, Brenda D. Townes, David B. Coppel
    Pages 109-135
  5. Richard G. Berryessa, Charles M. Tyndal Jr.
    Pages 137-156
  6. Deborah Mitchell, Mark Hilberman
    Pages 157-170
  7. Back Matter
    Pages 171-173

About this book

Introduction

Brain injury is one of the most unacceptable complications sustained during heart surgery. This book presents the current results and thinking of a number of leading clinical investigators in this area. Nearly all have been active in serious studies designed to define various aspects of brain physiology, patho­ physiology, or protection during cardiac operations performed with cardio­ pulmonary bypass. We were particularly interested in obtaining contributions from younger investigators. Brain injury is a problem which has long troubled those involved with perioperative care of the cardiac surgical patient. The first chapter by Dr. Torkel Aberg presents a summary of his extensive investigations into this problem. It is intended both to present the perspective of a surgeon interested in this problem, and to serve as an introduction to the overall issue of avoiding brain injury during heart surgery. The next three chapters discuss the problem of perfusion pressure, outcome, and brain blood flow. Dr. Sarnquist's contribution stems from his extensive experience with low flow bypass as practiced at Stanford University and the results of the studies he performed in collaboration with Dr. Fish. Drs. Govier and Reves discuss in some detail the general effects of anesthetic agents upon brain metabolic needs as well as their important data demonstrating preserva­ tion of brain blood flow autoregulation during cardiopulmonary bypass (CPB) as practiced at the University of Alabama. Finally Dr.

Keywords

Bypass Nervous System brain brain injury complications heart prevention

Editors and affiliations

  • Mark Hilberman
    • 1
  1. 1.University of ColoradoDenverUSA

Bibliographic information