title: Aortic Surgery and Deep-Hypothermic Circulatory Arrest: Anesthetic Update.
abstract: Aortic arch surgery has become increasingly complex, and novel surgical approaches have been utilized. Efforts aimed at improving neurological outcomes in this patient population have been numerous, with varying degrees of success. This article summarizes the anesthetic considerations for procedures on the aortic arch, including evidence-based outcomes with respect to temperature management, perfusion strategies, hemodynamic goals, adjunct agents, and neuromonitoring.
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Reed
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Kent B
authors.initials: KB
authors.lastname: Berg
authors.affiliation: University of Florida, Gainesville, FL, USA gjanelle@anest.ufl.edu.
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Janelle
mesh_terms: D000758:Anesthesia / Q000379:methods*; D001013:Aorta, Thoracic / Q000601:surgery*; D001831:Body Temperature; D002560:Cerebrovascular Circulation; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008991:Monitoring, Physiologic
keywords: antegrade cerebral perfusion; cerebral monitoring; deep-hypothermic circulatory arrest; hybrid aortic arch; hyperthermia; retrograde cerebral perfusion; selective cerebral perfusion