title: [Anesthetic management of Stanford type A aortic dissection operation].
abstract: OBJECTIVE
  To explore the anesthetic management experiences of patients with Stanford A aortic dissection undergoing surgical treatment through moderate or deep hypothermia circulatory arrest (DHCA).
  
  
  METHODS
  From June 2008 to December 2011, a total of 77 patients undergoing surgical treatment of Stanford A aortic dissection was recruited.
  
  
  RESULTS
  Cardiopulmonary bypass (CPB) was established under general anesthesia in all patients. The procedures included moderate hypothermia (n = 51) and DHCA (n = 26). The total surgical duration was 152 - 600 (292 ± 91) min, CPB time 38 - 310 (128 ± 43) min and aortic cross-clamp time 31 - 169 (87 ± 26) min. The time of circulatory arrest under deep hypothermia was 20 - 113 (41 ± 19) min in 26 patients. Among 77 patients, there were 5 intraoperative and 7 postoperative fatalities. The remained 65 patients were discharged postoperatively and received a regular outpatient follow-up. None of them died or required reoperation.
  
  
  CONCLUSIONS
  Surgical treatment is appropriate and efficient for the patients with Stanford A aortic dissection. During surgery, the keys of preventing neurological complications are blood volume monitoring and blood protection.
authors: Department of Anesthesiology, Zhejiang University, Hangzhou, China.
authors: Jian-hong
authors: JH
authors: Xu
authors: Xiong-xin
authors: XX
authors: Zhang
authors: Han-jian
authors: HJ
authors: Chen
authors: Wei-feng
authors: WF
authors: Shan
authors: Li-hui
authors: LH
authors: Luo
authors: Sheng-mei
authors: SM
authors: Zhu
authors: Qing-lian
authors: QL
authors: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia; D000784:Aortic Dissection / Q000601:surgery*; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D012189:Retrospective Studies; D016896:Treatment Outcome; D018924:Vascular Capacitance; D055815:Young Adult