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Moderne Konzepte der Kardioplegie

  • Lars Saemann,
  • Gábor Szabó

摘要

Background

Solutions for the induction of cardioplegic cardiac arrest have existed for decades. Since the inception of cardiac surgery, the patient population and the concepts for cardioprotection have changed.

Objective

Presentation of modern concepts for cardioplegia considering the changing patient population.

Material and methods

Description and analysis of past and current developments of cardioplegic solutions based on the literature.

Results

The principles of the induction of cardioplegic cardiac arrest have existed for over 50 years. Hyperkalemic depolarizing solutions have dominated the field so far. Polarizing cardioplegic solutions also exist, allowing the surgeon to perform a long procedure without interruptions.

Conclusion

Modern concepts of cardioplegia predominantly focus on enabling long, complex surgical procedures without repetitive administrations.