Cerebral Protection in Neuroanesthesia and Neurointensive Care

A 67-year-old man was admitted to our hospital following cardiopulmonary arrest CPA during work. After resuscitation, coronary angiography revealed left main coronary artery stenosis and three-vessel disease. We considered that coronary artery revascularization was required, but the neurological prognosis was unknown. Thus, an IMPELLA CP ® device was inserted and systemic management, including hypothermic therapy, was initiated. Circulatory conditions were stable during hypothermia therapy. Rewarming was initiated 24 h later, and we confirmed no abnormal neurological findings. Emergency off-pump coronary artery bypass was then performed. During the procedure, hemodynamic status was maintained using the IMPELLA CP ® device. After surgery, the patient was discharged without neurological complications. We report the management of a patient with severe three-vessel disease after resuscitation for CPA using an IMPELLA CP ® device and hypothermic therapy.

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Cerebral Protection in Neuroanesthesia and Neurointensive Care

Abstract: In this review, we would like to focus on cerebral protection in neuroanesthesia and neurointensive care and discuss the mechanisms of neuroprotective and neurotoxic effects of anesthetic agents.

Cited by 2 publications

References 66 publications

Cea時の一時的血流遮断による神経症状が遷延した内頚動脈狭窄症の1例

Cea時の一時的血流遮断による神経症状が遷延した内頚動脈狭窄症の1例

Effective Management with IMPELLA CP<sup>®</sup> and Hypothermia Therapy for a Case of Severe Ischemic Coronary Disease after Cardiopulmonary Arrest

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