Expert Insights: Re-Imagining Myocardial Reanimation Ensuring a Successful Operative Outcome

Sarah_Wilson

posted on 2 weeks ago — updated on 1 second ago

26
views

Expert Insights: Re-Imagining Myocardial Reanimation Ensuring a Successful Operative Outcome

The evolution of cardio-protective strategies during “Open Heart” surgery, through numerous years of empirical trial-and-error, has evolved into two primary factors: utilizing cardioplegia (to quiet a beating heart) that one trained with in medical school vs. a cardioplegia solution with demonstrated superior global protective qualities.

Author: Thomas N Muziani, President and CEO of HEMO-STAT Blood Management Consulting

The evolution of cardio-protective strategies, through numerous years of empirical trial-and-error, has evolved to the nexus of: utilizing cardioplegia that one trained with vs. a cardioplegia that displays superior protection capabilities. It is necessary to discuss the myriad of present day cardio-protective strategies available to all Cardiac programs in order to effectively provide a “menu” of options. The fascinating cornucopia of cardioplegia solutions literally runs the gamut. From all crystalloid, pink tinged crystalloid, crystalloid with blood to all blood with no crystalloid. Then there are ratios of delivery: 4:1 (4 parts blood, 1 part crystalloid), 1:1, 1;4,8:1...all the way to 66:1. Then you have frequency of delivery: Every 10 to 20 minutes, after every graft, after one hour to one hour 30 minutes.

Complete Article: Re-Imagining Myocardial Reanimation Ensuring a Successful Operative Outcome