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Zerebrale Effekte der Hypothermen Extrakorporalen Zirkulation

Zerebrale Effekte der Hypothermen Extrakorporalen Zirkulation (Paperback)

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Synopsis

Angaben uber die Inzidenz neurologischer und psychischer Funktionsstorungen nach kardiopulmonalen Bypassoperationen reichen in verschiedenen klinischen Untersuchungen von 5 bis 64 %, wobei die Funktionsausfalle von leichten neurologischen Veranderungen bis zu zerebralen Infarkten reichen. Die Haufigkeit objektivierbarer Enzephalopathien wird 3 Monate nach kardiopulmonalem Bypass mit etwa 12 % angegeben. Vor diesem Hintergrund lassen sich aus der durch Hypothermie und kardiopulmonalem Bypass veranderten zerebralen Homoostase theoretische Uberlegungen zur moglichen Ursache neurologischer und neuropsychologischer Storungen ableiten. Mit diesem Buch wird erstmals eine systematische Studie uber das Verhalten von Hirndurchblutung, zerebralem Metabolismus, EEG-Verlaufen und postoperativer Inzidenz neurologischer/neuropsychologischer Symptomatik nach pulsatiler und nichtpulsatiler Perfusionstechnik in Verbindung mit Hypothermie vorgelegt.

Das Kernergebnis aus dieser Untersuchung zeigt, dass ein nicht temperaturkorrigiertes Saure-Basen-Management wahrend der extrakorporalen Zirkulation und Hypothermie fur das Gehirn physiologischer ist und die Kopplung zwischen Hirnmetabolismus und Durchblutung unter diesen Bedingungen erhalten bleibt.

Medical & VeterinaryBrances of medicineAccident & emergency medicineIntensive care medicineMedical & VeterinaryBrances of medicineAnaestheticsMedical & VeterinaryBrances of medicineNeurology & clinical neurophysiologyMedical & VeterinaryPre-clinical medicine: basic sciencesPhysiologyMedical & VeterinarySurgeryCardiothoracic surgeryMedical & VeterinarySurgeryVascular surgery Publisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG Publication Date: 28/01/1991 ISBN-13: 9783540529712  Details: Type: Paperback Format: Books
Availability: To Order. Estimated despatch in 1-3 weeks.  

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