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Ann Thorac Surg 2001;71:28
© 2001 The Society of Thoracic Surgeons

Invited commentary: original article: cardiovascular

Invited commentary

Craig R. Smith, MDa

a Division of Cardiothoracic Surgery, College of Physicians & Surgeons of Columbia University, 177 Ft Washington Ave, Suite 7-435, New York, NY 10032, USA

Stecker and coauthors have presented an elegant description of the natural history of brain cooling, assessed by a variety of neurophysiologic parameters infrequently applied in a clinical setting. In Part I, the variability of cooling to achieve electrocerebral silence (ECS) is striking. In Part II, the "hysteresis" of warming and cooling seen in neural tissue is beautifully illustrated by the disappearance of sensory evoked potentials (SEP) prior to ECS during cooling, with reappearance of SEP while ECS persists during warming. An interesting subanalysis suggests that retrograde cerebral perfusion produces a more . . . [Full Text of this Article]






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