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Spinal Cord Collateral Flow During Antegrade Cerebral Perfusion for Aortic Arch Surgery
Cooling is a more important means of protection for the lower spinal cord during lower body circulatory arrest than is antegrade cerebral perfusion.
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The Effect of Patient-Specific Cerebral Oxygenation Monitoring on Postoperative Cognitive Function: A Multicenter Randomized Controlled Trial
The aim of the patient-specific cerebral oxygenation monitoring as part of an algorithm to reduce transfusion during heart valve surgery (PASPORT) trial is to determine whether the addition of near-infrared spectroscopy (NIRS) to cardiopulmonary bypass (CPB) management algorithms can prevent cognitive decline, postoperative organ injury, unnecessary transfusion, and reduce health care costs.
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Strict Blood Glucose Control in the ICU: Panacea or Pandora’s Box?
Presently, the recommendation for adults undergoing cardiovascular surgical procedures is that there should be concern about blood glucose levels preoperatively and that control of blood glucose should start early; otherwise, the aggressive approach mandated by the development of hyperglycemia will increase the incidence of hypoglycemia.
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