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Brain injury is one of the most unacceptable complications
sustained during heart surgery. This book presents the current
results and thinking of a number of leading clinical investigators
in this area. Nearly all have been active in serious studies
designed to define various aspects of brain physiology, patho
physiology, or protection during cardiac operations performed with
cardio pulmonary bypass. We were particularly interested in
obtaining contributions from younger investigators. Brain injury is
a problem which has long troubled those involved with perioperative
care of the cardiac surgical patient. The first chapter by Dr.
Torkel Aberg presents a summary of his extensive investigations
into this problem. It is intended both to present the perspective
of a surgeon interested in this problem, and to serve as an
introduction to the overall issue of avoiding brain injury during
heart surgery. The next three chapters discuss the problem of
perfusion pressure, outcome, and brain blood flow. Dr. Sarnquist's
contribution stems from his extensive experience with low flow
bypass as practiced at Stanford University and the results of the
studies he performed in collaboration with Dr. Fish. Drs. Govier
and Reves discuss in some detail the general effects of anesthetic
agents upon brain metabolic needs as well as their important data
demonstrating preserva tion of brain blood flow autoregulation
during cardiopulmonary bypass (CPB) as practiced at the University
of Alabama. Finally Dr.
Brain injury is one of the most unacceptable complications
sustained during heart surgery. This book presents the current
results and thinking of a number of leading clinical investigators
in this area. Nearly all have been active in serious studies
designed to define various aspects of brain physiology, patho
physiology, or protection during cardiac operations performed with
cardio pulmonary bypass. We were particularly interested in
obtaining contributions from younger investigators. Brain injury is
a problem which has long troubled those involved with perioperative
care of the cardiac surgical patient. The first chapter by Dr.
Torkel Aberg presents a summary of his extensive investigations
into this problem. It is intended both to present the perspective
of a surgeon interested in this problem, and to serve as an
introduction to the overall issue of avoiding brain injury during
heart surgery. The next three chapters discuss the problem of
perfusion pressure, outcome, and brain blood flow. Dr. Sarnquist's
contribution stems from his extensive experience with low flow
bypass as practiced at Stanford University and the results of the
studies he performed in collaboration with Dr. Fish. Drs. Govier
and Reves discuss in some detail the general effects of anesthetic
agents upon brain metabolic needs as well as their important data
demonstrating preserva tion of brain blood flow autoregulation
during cardiopulmonary bypass (CPB) as practiced at the University
of Alabama. Finally Dr."
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