Sanjay Goel

Anesthetic considerations for a steroid-dependent high-risk patient undergoing minimally invasive cardiac surgery

CAN J ANESTH 55: 1 www.cja-jca.org January, 2008 References 1 Piquette D, Deschamps A, Bélisle S, et al. Effect of intravenous nitroglycerin on cerebral saturation in high-risk cardiac surgery. Can J Anesth 2007; 54: 718–27. 2 Mazer CD, Briet F, Blight KR, et al. Increased cerebral and renal endothelial nitric oxide synthase gene expression after cardiopulmonary bypass in the rat. J Thorac Cardiovasc Surg 2007; 133: 13–20. 3 Murkin JM, Adams SJ, Novick RJ, et al. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg 2007; 104: 51–8. 4 Duebener LF, Hagino I, Schmitt K, Stamm C, Zurakowski D, Jonas RA. Effects of hemodilution and phenylephrine on cerebral blood flow and metabolism during cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2004; 18: 423–8. 5 Hare GM, Hum KM, Kim SY, Barr A, Baker AJ, Mazer CD. Increased cerebral tissue oxygen tension after extensive hemodilution with a hemoglobin-based oxygen carrier. Anesth Analg 2004; 99: 528–35. 6 Lee TJ, Zhang W, Sarwinski S. Presynaptic beta(2)adrenoceptors mediate nicotine-induced NOergic neurogenic dilation in porcine basilar arteries. Am J Physiol Heart Circ Physiol 2000; 279: H808–16.

Cardiac Arrest After the Removal of a Central Venous Catheter

1. Leyvi G, Bello R, Wasnick J, et al: Assessment of cerebral oxygen balance during deep hypothermic circulatory arrest by continuous jugular bulb venous saturation and near-infrared spectroscopy. J Cardiothorac Vasc Anesth 20:826-833, 2006 2. Baraka A, Naufal M, El-Khatib M: Correlation between cerebral and mixed venous oxygen saturation during moderate versus tepid hypothermic hemodiluted cardiopulmonary bypass. J Cardiothorac Vasc Anesth 20:819-825, 2006 3. Nawfal M, El-Khatib MF, Taha S, et al: Effect of alpha-stat versus pH-stat strategies on cerebral oximetry during moderate hypothermic cardiopulmonary bypass. Eur J Anaesth 7:1-5, 2006 4. Laussen P: Optimal blood gas management during deep hypothermic paediatric cardiac surgery: Alpha-stat is easy, but pH-stat may be preferable. Paediatr Anaesth 12:199-204, 2002