Halogenate in extracorporeal circulation. Effects beyond anesthesia.
Keywords:
Cardiac Preconditioning, Sevoflurane, Extracorporeal CirculationAbstract
The administration of intra and postoperative Sevoflurane in cardiac patients, undergoing surgery for myocardial revascularization with extracorporeal circulation has shown a cardioprotective effect; since, under conditions of hemodynamic control, in our study reduced the levels of biomarkers of myocardial injury, troponin I.
Taking into account that this myocardial protection produced by halogenated anesthetics in cardiac surgery is alrea dy a proven fact and that its benefit is increasing when it is administered during the entire period of surgery, including in the CEC, this technique has been obtaining a most relevant space in all cardiac surgery centers. Therefore, it improves not only the stability of the patient in the intraoperative period, but also contributes, in the short and long term, to the reduction of postoperative morbidity and mortality.
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