Search for dissertations about: "de-airing"

Found 4 swedish dissertations containing the word de-airing.

  1. 1. Carbon dioxide de-airing in cardiac surgery

    Author : Peter Svenarud; Karolinska Institutet; Karolinska Institutet; []
    Keywords : Carbon dioxide; De-airing; Air embolism; Cardiac surgery; Insufflation device; Microemboli; Transesophageal echocardiography;

    Abstract : Background: The risks connected with the presence of air microemboli in open-heart surgery, have recently been emphasized by reports that their number is correlated with the degree of postoperative neuropsychological disorder. Insufflation of carbon dioxide (C02) into the chest wound is used in open-heart surgery to de-air the heart and great vessels. READ MORE

  2. 2. Lund Concept for De-airing of the Left Heart. Clinical Evaluation

    Author : Maya Landenhed Smith; Thoraxkirurgi; []
    Keywords : open left heart surgery; de-airing; gaseous cerebral microemboli; transcranial Doppler sonography;

    Abstract : Background: Residual air accumulated air in the pulmonary veins constitutes a challenge to achievment of complete de-airing in open left heart surgery. To adress this problem, a conceptual method for de-airing was developed in Lund comprising bilateral opening of the pleurae to induce pulmonary collapse and a strategy with gradual pulmonary reperfusion and ventilation at weaning from cardiopulmonary bypass (CPB). READ MORE

  3. 3. New Intraoperative Techniques to Improve Advanced Aortic Root Surgery

    Author : Faleh Alrashidi; Thoraxkirurgi; []
    Keywords : MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Modified Ross Operation; Aortic Root surgery; Microemboli signals MES ; Transcranial Doppler TCD ; Acute plateletphersis APP ; Transesophageal echocardiography TEE ; de-airing;

    Abstract : Study I: Thirteen patients underwent a modified Ross operation in which the free-standing pulmonary autograft was supported externally by a Dacron vascular prosthetic jacket (DVPJ). The tailor-made DVPJ prevented dilatation of the neo-aortic root significantly following a median follow-up of 47 months compared to a cohort of l3 matched patients undergoing conventional Ross operation. READ MORE

  4. 4. Measures to prevent microembolization in cardiac surgery and during angiography with special reference to carbon dioxide

    Author : Jesper Nyman; Karolinska Institutet; Karolinska Institutet; []
    Keywords : ;

    Abstract : Background: Cardiovascular interventions including open heart surgery using cardiopulmonary bypass (CPB) and coronary angiography may introduce air and particulate arterial embolism that may lead to tissue lesions of the brain and other organs. Aims: To assess: if CO2-insufflation of an empty CPB circuit decreases number of gaseous emboli in the prime compared with a conventional CPB circuit, which holds air before fluid priming (Study I); the efficacy of a new mini-diffuser device for CO2 de-airing in a minimally invasive open cardiothoracic wound cavity model and in patients undergoing minimally invasive open aortic valve surgery (Study II); if an extra separate venous reservoir abolishes CO2-insufflation induced hypercapnia and retains sweep gas flow of the oxygenator constant during open heart surgery (Study III); if there is a difference in the incidence of cerebral microemboli when using either the femoral or the radial approach during coronary angiography (Study IV). READ MORE