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Ann Thorac Surg 1976;22:330-337
© 1976 The Society of Thoracic Surgeons
Department of Surgery, Yokohama City University Hospital and School of Medicine, Yokohama, Japan
Accepted for publication October 13, 1975.
* Address reprint requests to Dr. Matsumoto, Department of Surgery, Division of Cardiovascular Surgery, Yokohama City University Hospital, Urafune-cho, Minami-ku, Yokohama, Japan 232.
Profound hypothermia with body-surface cooling for use in open-heart surgery is considered a difficult anesthetic technique because of the problems of controlling ether anesthesia. This paper describes our hypothermia technique in detail, with emphasis on its particular usefulness in open-heart procedures in neonates and infants. The results are based on our experience with 281 consecutive patients. Guidelines for safe and effective performance of this technique were established on the basis of continuous monitoring of the electrocardiogram, electroencephalogram, and arterial blood pressure. We conclude from our experience that open-heart operation under profound hypothermia is a safe, effective, and extremely promising method.
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