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Ann Thorac Surg 1993;55:177-178
© 1993 The Society of Thoracic Surgeons


Articles

Simplified method for delivering normothermic blood cardioplegia

Philippe Menasché, MD, PhD*,a,b, Bernard Touchot, MDa,b, Frédéric Pradier, DPharma,b, Gérard Bloch, MDa,b, Armand Piwnica, MDa,b

a Department of Cardiovascular Surgery, Hôpital Lariboisière, Paris, France
b Pharmacie Centrale de l'Assistance Publique-Hôpitaux de Paris, Paris, France

Accepted for publication September 21, 1992.

* Address reprint requests to Dr Menasché, Department of Cardiovascular Surgery, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10, France.

We describe a simple technique for optimizing oxygen delivery during normothermic continuous blood cardioplegia. It involves the use of a minimal volume of cardioplegic agents, the infusion rate of which is adjusted so as to keep the heart arrested. The resulting enhancement of oxygen supply is marshalled from the maintenance of hematocrit values in the range of 0.25.




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