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Therapeutic Hypothermia

Discussion in 'Anesthesiology' started by waterski232002, Apr 21, 2007.

  1. waterski232002

    waterski232002 Senior Member 5+ Year Member

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    Sep 5, 2004
    Chicago
    What conditions/operations do anesthesiologists use hypothermia for? Craniotomy? CABG? Transplant?
     
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  3. zippy2u

    zippy2u Senior Member 5+ Year Member

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    Feb 19, 2005
    Back in the day, aneurysms involving the aortic arch. Regards, ----Zippy
     
  4. BlackSails

    BlackSails 2+ Year Member

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    Apr 4, 2007
    There has been some research in complete exsanguination of dogs, replacing their blood with oxygenated liquid (I forget what. Flourocarbons I think?) and then bringing them back.

    They tried it with pigs, and in the middle, they severely damaged the pigs, to simulate trauma, and then repaired them before they brought them back to life.

    Granted, I read this in discover, not a peer reviewed journal, but its still pretty cool.
     
  5. VentdependenT

    VentdependenT You didnt build thaT Physician Moderator Emeritus 10+ Year Member

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    Oct 3, 2003
    Louisville
    If ya cold when ya come in, you stay cold whilst you repaired.

    If ya on Deep Hypothermic Circulatory Arrest cause you got a nasty Aortic/Pulmonary artery whatever, then take em down to 15-18 C for 45 min or less with a blast of thiopental before exsanguination.

    There is always retrograde cerebral perfusion but I don't know how to do it.

    If you wanna do some cerebral protection otherwise and not on CPB 35 C should do the trick.

    Otherwise warm=good.
     
  6. Planktonmd

    Planktonmd Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    Nov 2, 2006
    The South
    Friday I saw a CRNA using hypothermia for a hernia repair, I think it's a new technique they are using to keep their mortality rate low.
     
  7. bena79102

    bena79102

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    Apr 19, 2007
    China
    Was the pt suffering from infection and fever? It is over treatment that using hopothermia for a regular hernia repair. Was her procedure based on evidence?
     
  8. Planktonmd

    Planktonmd Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    Nov 2, 2006
    The South
    She just forgot to turn on the warming blanket in a freezing room
     
  9. DrDre'

    DrDre' Senior Member 7+ Year Member

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    May 30, 2003
    South Central
    This forum always reminds me that irony and sarcasm are extremely difficult to pick up on.

    Yes, I am being faKecious (sic)




     

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