Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Selective topical cooling for myocardial protection

T R McLean1, J W Jones, L G Svensson

  • 1Cora and Webb Madding Department of Surgery, Baylor College of Medicine, Houston, Texas.

Cardiovascular Surgery (London, England)
|April 1, 1993
PubMed
Summary

Selective topical myocardial cooling can be safely used during coronary artery bypass operations. This method avoids potential injuries associated with routine topical cooling, preserving red blood cells and protecting vital organs.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Parapubic hernia: case report and review of the literature.

Hernia : the journal of hernias and abdominal wall surgery·2002
Same author

Necrotizing soft tissue infection of the chest wall.

The Journal of cardiovascular surgery·2002
Same author

Atypically located pericardial cysts.

The Journal of cardiovascular surgery·2002
Same author

Investigation of postanginal sepsis and Lemierre's syndrome in the South West Peninsula.

Communicable disease and public health·2002
Same author

Handlebar hernia: ultrasonography-aided diagnosis.

Hernia : the journal of hernias and abdominal wall surgery·2002
Same author

Donor/recipient skin and whole-blood cyclosporin A levels in a swine composite tissue allograft model: correlation and relationship to rejection.

Transplantation proceedings·2002

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Anesthesia
  • Myocardial Protection

Background:

  • Antegrade infusion cardioplegia has limitations for myocardial cooling.
  • Routine topical myocardial cooling can cause phrenic nerve, lung, and heart injury.
  • Red blood cells are lost with irrigation fluid during topical cooling.

Purpose of the Study:

  • To evaluate the selective use of topical myocardial cooling during coronary artery bypass operations.
  • To determine if selective topical cooling can maintain myocardial temperatures effectively without routine application.

Main Methods:

  • Prospective data collection from 67 patients undergoing isolated coronary artery bypass.
  • Intramyocardial temperatures were measured after initial cardioplegia infusion.

Related Experiment Videos

  • Patients were divided into two groups based on temperature: Group 1 (no topical cooling) and Group 2 (topical cooling if temperature > 20°C).

    • Main Results:

    • No significant differences in patient demographics, risk factors, or surgical outcomes between groups.
    • No deaths occurred in either group.
    • Only one patient (3%) in the topical cooling group developed new Q waves.

    Conclusions:

    • Selective topical myocardial cooling is a safe and effective alternative to routine topical cooling.
    • This approach minimizes potential complications and preserves valuable red blood cells.
    • Further research may support the selective use of topical cooling in cardiac surgery.