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Religion, politics…deep hypothermic circulatory arrest

2005; Elsevier BV; Volume: 130; Issue: 5 Linguagem: Inglês

10.1016/j.jtcvs.2005.07.047

1097-685X

Frank L. Hanley,

Mechanical Circulatory Support Devices

Opinions among pediatric heart surgeons vary regarding the routine use of deep hypothermic circulatory arrest (DHCA) during the surgical management of neonates and infants with complex congenital heart disease. Currently, some surgeons use DHCA routinely, others use it selectively, and still others have essentially abandoned the technique, opting for a perfusion strategy that uses continuous cardiopulmonary bypass (CPB). While acknowledging that both DHCA and CPB are abnormal physiologic states associated with risk, surgeons in each camp believe that their particular management scheme provides the best opportunity for morbidity-free outcome.