[Hypothermic retrograde cerebral perfusion for treatment of air embolism during extracorporeal circulation].
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.
Gomes
W J
WJ
Escola Paulista de Medicina, São Paulo.
Palma
J H
JH
Bertuccez
J A
JA
Sales
T
T
Buffolo
E
E
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
Perfusão cerebral retrógrada hipotérmica para tratamento de embolia gasosa durante circulação extracorpórea.