Anesthetic Considerations for Surgery on the Aortic Arch.
Aortic arch surgery requires meticulous teamwork in the true perioperative sense. Planning and communication at all phases from preoperative evaluation, through intraoperative management, to postoperative care should be well coordinated between surgical, anesthesia, perfusion, and intensive care unit teams. This review discusses intraoperative management from the anesthesiologist's perspective, with particular emphasis on transesophageal echo evaluation and coagulation management.
University of Colorado Denver, Aurora, CO, USA barbara.wilkey@ucdenver.edu.
Barbara J
BJ
Wilkey
University of Colorado Denver, Aurora, CO, USA.
Nathaen S
NS
Weitzel
D000758:Anesthesia / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001778:Blood Coagulation Disorders / Q000628:therapy; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D017548:Echocardiography, Transesophageal; D006801:Humans
aortic atheromatous disease; blood loss; cardiac anesthesia; cardiac surgery; cardiopulmonary bypass; coagulation; deep hypothermic circulatory arrest; intraoperative transesophageal echocardiography; neuroprotection