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J. Cardiothorac. Vasc. Anesth. · Dec 2019
Historical ArticleThe "Ice Age" in Cardiac Surgery: Evolution of the "Siberian" Method of Brain Protection During Deep Hypothermic Perfusionless Circulatory Arrest.
- Dmitri Guvakov, Dmitri Bezinover, Vladimir V Lomivorotov, Vadim G Postnov, Stuart J Weiss, Albert T Cheung, Julie Swain, and Vladimir N Lomivorotov.
- Department of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA. Electronic address: dguvakov@pennstatehealth.psu.edu.
- J. Cardiothorac. Vasc. Anesth. 2019 Dec 1; 33 (12): 3366-3374.
AbstractDeep hypothermic perfusionless circulatory arrest was the first practical neuroprotective technique used for open-heart surgery. It was refined at the Novosibirsk Medical Research Center in Siberia and was actively used from the mid-1950s until 2001.This review describes the development of this technique and its contribution to our understanding of the dynamic changes in human physiology during induced hypothermia for circulatory arrest without extracorporeal perfusion. Deep hypothermic perfusionless circulatory arrest was an important stepping stone in the development of modern approaches in neuroprotection and monitoring during cardiac surgery.Copyright © 2019 Elsevier Inc. All rights reserved.
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