Moderne Konzepte der Kardioplegie
摘要
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.
ObjectivePresentation of modern concepts for cardioplegia considering the changing patient population.
Material and methodsDescription and analysis of past and current developments of cardioplegic solutions based on the literature.
ResultsThe 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.
ConclusionModern concepts of cardioplegia predominantly focus on enabling long, complex surgical procedures without repetitive administrations.