Effect of Trendelenburg head position during cardiac deairing on cerebral microemboli in children: A randomized controlled trial

Abstract

Trendelenburg head position as a complement of cardiac deairing in children does not decrease the cerebral microembolic load compared with the horizontal head position. The cerebral microembolic count and the occurrence of electrocardiographic alterations usually increases when the surgeon is less confident in the efficacy of deairing.

Intra-arterial Air Thrombogenesis after Cerebral Air Embolism Complicating Lower Extremity Sclerotherapy

“…However, upon arrival she had a substantial spontaneous resolution and no evidence of infarct on MRI. Although the patient was placed in Trendelenburg at the outside hospital, there is no evidence that this prevents further cerebral air embolism [8][9][10] and in fact may exacerbate cerebral ischemia in severe cases, which are associated with increased intracranial pressure [11]. Thus we no longer recommend such a procedure be performed.…”

Comparison of two different extracorporeal circuits on cerebral embolization during cardiopulmonary bypass in children

“…During the period of aortic crossclamping, HITS were detected in all pediatric patients (100%). The median count of extracorporeal HITS for all patients was 12 (3,51), representing 21% of the total count of HITS detected from the beginning to the end of CPB. Table 2 lists HITS counts, demographics and other physiologic parameters according to the complexity of surgical repair and type of CPB circuit.…”

Cholecystectomy in the presence of a large patent foramen ovale: laparoscopic or open?

“…In many cases, it has led to rapid rescue, though its overall effectiveness has been questioned [24][25][26]. As an alternative, the use of gasless laparoscopy with abdominal lift devices has been considered in the surgical literature to perform cholecystectomy without the need for CO 2 pneumoperitoneum.…”