title: [Hypothermic retrograde cerebral perfusion for treatment of air embolism during extracorporeal circulation].
abstract: Air embolism during extracorporeal circulation is a life-threatening complication, requiring immediate response. During a recent case, brain damage was avoided using hypothermic retrograde cerebral perfusion, connecting the arterial line to superior vena cava cannula. Perfusion lasted 5 minutes at flow of 200ml/min. The patient had complete recovery and was discharged with normal neurologic status. The technique employed is described and steps for a face this accident are proposed.
authors.affiliation: Escola Paulista de Medicina, São Paulo.
authors.forename: W J
authors.initials: WJ
authors.lastname: Gomes
authors.forename: J H
authors.initials: JH
authors.lastname: Palma
authors.forename: J A
authors.initials: JA
authors.lastname: Bertuccez
authors.forename: T
authors.initials: T
authors.lastname: Sales
authors.forename: E
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D000328:Adult; D002560:Cerebrovascular Circulation; D004618:Embolism, Air / Q000209:etiology / Q000628:therapy*; D005112:Extracorporeal Circulation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D007431:Intraoperative Complications / Q000628:therapy*; D010477:Perfusion; D014683:Vena Cava, Superior
vernacular_title: Perfusão cerebral retrógrada hipotérmica para tratamento de embolia gasosa durante circulação extracorpórea.