PURPOSE In aortic arch surgeries, antegrade selective cerebral perfusion (SCP) combined with deep hypothermic circulatory arrest (DHCA) has been recently widely used in institutions as one of the most reliable methods for cerebral protection. However, some studies reported a 3.7-9.3% incidence of postoperative cerebral complications. To perform antegrade SCP more safely, we sought to examine th...

An unconscious 57 year old man lying on the road under the highway was sent to our emergency department by the emergency medical service with out-of-hospital-cardiac arrest status. On arrival, core body temperature was 21 degrees Celsius and pulse, blood pressure were all undetectable. Figure 1-The electrocardiogram (ECG)showed junctional bradycardia with Osborn J wave. After endotracheal intub...

Accepted for publication June 7, 1995 In this report, we document that cerebral hyperthermia occurs regularly during rewarming from hypothermic cardiopulmonary bypass (CPB). These high brain temperatures are not adequately reflected by nasopharyngeal (NP) temperature and may contribute to neurologic morbidity. Stroke and neurocognitive injury remain significant components of perioperative morbi...

A short history of Campbell's primordial soup: In this essay we try to disclose some of the historical connections between the studies that have contributed to our current understanding of the emergence of catalytic RNA molecules and their components from an inanimate matter.

A 3-year-old boy who had been exposed for at least 15 hours in an air temperature of approximately 0°C, was found to have a rectal temperature of 17°C about 20 minutes after he arrived at the hospital. He was rewarmed to 34°C in a bath of water at a temperature of 37-38°C during a period of 2 hours 15 minutes. He was also given large amounts of intravenous bicarbonate at the same time. Complica...

AIM OF THE STUDY Hypothermia treatment with cold intravenous infusion and ice packs after cardiac arrest has been described and used in clinical practice. We hypothesised that with this method a target temperature of 32-34 degrees C could be achieved and maintained during treatment and that rewarming could be controlled. MATERIALS AND METHODS Thirty-eight patients treated with hypothermia aft...